Individual provider Active NPI

Brenda L. Gilmore-Hicks

  • Clinical Social Worker
  • Norfolk, VA
National Provider Identifier
1043373186
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904004800 Issued in VA
Practice address
400 N Center Dr BLDG 3
124
Norfolk, VA 23502-4004
Phone
(757) 227-3072
Fax
(757) 227-3212
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904004800 VA Primary

Addresses

Primary practice location

400 N Center Dr BLDG 3
124
Norfolk, VA 23502-4004

Mailing address

4423 Pelican PT
None
Portsmouth, VA 23703-5369
Phone (757) 483-4255

Other identifiers 1

IdentifierTypeStateIssuer
010259223MedicaidVA

Other names 1

  • Ms. Brenda L Gilmore-Hicks Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100610000832 VA Practitioner - Clinical Social Worker 1557491925 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates at York IncGroup PAC ID 3476788720, 3 clinicians

Practice addresses (Care Compare)

5900 E Virginia Beach Blvd
Suite 208
Norfolk, VA 23502-9998
Phone (757) 313-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904004800VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Associates at York, Inc Clinical CurrentSince Jun 1, 2024 Accepting new patients
Tidewater Pastoral Counseling Services, Inc CurrentSince May 1, 2021 Accepting new patients
Center for Personal Growth & Change PastSince Dec 13, 2012 Accepting new patients

Locations

5900 E Virginia Beach Blvd
Ste 208
Norfolk, VA 23502
Phone (757) 313-5700

7305 Hampton Blvd
Norfolk, VA 23505
Phone (757) 623-2700

Organizations & group practices 3

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1043373186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 PELICAN PT",
            "address_2": "NONE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237035369",
            "telephone_number": "757-483-4255",
            "fax_number": "757-466-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N CENTER DR BLDG 3",
            "address_2": "124",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024004",
            "telephone_number": "757-227-3072",
            "fax_number": "757-227-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE-HICKS",
        "first_name": "BRENDA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010259223",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "GILMORE-HICKS",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.