Active NPI
Brenda L. Gilmore-Hicks
- Clinical Social Worker
- Norfolk, VA
National Provider Identifier
1043373186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904004800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010259223 | Medicaid | VA |
Other names 1
- Ms. Brenda L Gilmore-Hicks
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0904004800 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates at York, Inc | Clinical | Current | Accepting new patients |
| Tidewater Pastoral Counseling Services, Inc | Current | Accepting new patients | |
| Center for Personal Growth & Change | Past | 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.
-
- Clinical Social Worker
- Norfolk, VA
- NPI 1497845333
-
- Pastoral Counselor
- Norfolk, VA
- NPI 1407014509
-
- Mental Health Counselor
- Norfolk, VA
- NPI 1053450817
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.