Provider Demographics
NPI:1861127623
Name:BRUMFIELD, WENDY RENEE (MSW)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:RENEE
Last Name:BRUMFIELD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3028 CARLTON PKWY
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-6005
Mailing Address - Country:US
Mailing Address - Phone:972-921-4558
Mailing Address - Fax:
Practice Address - Street 1:3028 CARLTON PKWY
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-6005
Practice Address - Country:US
Practice Address - Phone:972-921-4558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-17
Last Update Date:2022-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker