Individual provider Active NPI

David Bruce Hughes, LCSW

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1023022126
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C013481 Issued in NC
Practice address
3333 Wrightsville Ave Ste G112
Wilmington, NC 28403-4115
Phone
(480) 613-3817
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2009006272 MO
Clinical Social Worker 1041C0700X C013481 NC Primary

Addresses

Primary practice location

3333 Wrightsville Ave Ste G112
Wilmington, NC 28403-4115

Mailing address

1418 Brookside Gardens Dr
Wilmington, NC 28411-7420
Phone (804) 301-5910

Other identifiers 2

IdentifierTypeStateIssuer
010101107MedicaidVA
010101085MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100601000583 MO Practitioner - Clinical Social Worker 0941264535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Louis Counseling, IncGroup PAC ID 7214901289, 14 clinicians

Practice addresses (Care Compare)

1385 Harkee Dr
Florissant, MO 63031-3434
Phone (314) 831-1533

5 Premier Dr
Suite 200
Fenton, MO 63026-2943
Phone (314) 544-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C013481NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Henrico Area Mental Health and Developmental Services PastSince Jan 1, 1990 Accepting new patients
Henrico County PastSince Jan 1, 1990 Accepting new patients
James River Psychotherapy Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1023022126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 BROOKSIDE GARDENS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284117420",
            "telephone_number": "804-301-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 WRIGHTSVILLE AVE STE G112",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034115",
            "telephone_number": "480-613-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "DAVID",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2009006272",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010101107",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010101085",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.