Provider Demographics
NPI:1063727162
Name:BRENNER, AMY SCHMIDT (MSW, LCSW-S)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:SCHMIDT
Last Name:BRENNER
Suffix:
Gender:F
Credentials:MSW, LCSW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 PEBBLE CREEK CT APT 717
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-5951
Mailing Address - Country:US
Mailing Address - Phone:972-207-9829
Mailing Address - Fax:
Practice Address - Street 1:5323 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-9070
Practice Address - Country:US
Practice Address - Phone:972-207-9829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2024-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX500771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical