Active NPI
Lori J Brinkley, LCSW
- Clinical Social Worker
- Wilmington, NC
National Provider Identifier
1124047972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004200
- Practice address
- 5009 Wrightsville Ave # a
Wilmington, NC 28403-7045 - Phone
- (910) 791-5575
- Fax
- (910) 791-5576
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 | C004200 | NC | Primary |
Addresses
Primary practice location
5009 Wrightsville Ave # a
Wilmington, NC 28403-7045
Mailing address
5009 Wrightsville Ave # a
Wilmington, NC 28403-7045
Phone (910) 791-5575
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015PF | Other | NC | BCBS GROUP # |
| 13191 | Other | NC | BCBS INDIVIDUAL PROV # |
| 6002556 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| C004200 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1124047972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5009 WRIGHTSVILLE AVE # A",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284037045",
"telephone_number": "910-791-5575",
"fax_number": "910-791-5576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5009 WRIGHTSVILLE AVE # A",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284037045",
"telephone_number": "910-791-5575",
"fax_number": "910-791-5576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINKLEY",
"first_name": "LORI",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP #",
"identifier": "015PF",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL PROV #",
"identifier": "13191",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002556",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.