Individual provider Active NPI

Briana L Sefcik, LCSW

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1114101573
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
39965 Issued in TX
Practice address
1555 Merrimac Cir
104
Fort Worth, TX 76107-6530
Phone
(817) 551-2973
Fax
(817) 293-0382
NPI assigned
Dec 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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 39965 TX Primary

Addresses

Primary practice location

1555 Merrimac Cir
104
Fort Worth, TX 76107-6530

Mailing address

PO Box 1090
Joshua, TX 76058-1090
Phone (817) 551-2973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39965TXMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1114101573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "JOSHUA",
            "state": "TX",
            "postal_code": "760581090",
            "telephone_number": "817-551-2973",
            "fax_number": "817-293-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 MERRIMAC CIR",
            "address_2": "104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076530",
            "telephone_number": "817-551-2973",
            "fax_number": "817-293-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEFCIK",
        "first_name": "BRIANA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "39965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.