Individual provider Active NPI

Brandie Hollifield Key, MSW, LCSW, LCAS, CCS

  • Clinical Social Worker
  • Pinehurst, NC
National Provider Identifier
1184097974
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P010057 Issued in NC
Practice address
205 Memorial Dr
Pinehurst, NC 28374-8712
Phone
(910) 295-6853
Fax
(910) 295-9183
NPI assigned
Nov 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-22360 NC
Clinical Social Worker 1041C0700X P010057 NC Primary

Addresses

Primary practice location

205 Memorial Dr
Pinehurst, NC 28374-8712

Mailing address

284 Executive Park Dr
Ste 100
Concord, NC 28025-1894
Phone (704) 939-1100

Other identifiers 1

IdentifierTypeStateIssuer
IRA3HZN03140980OtherNJBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180202001632 NC Practitioner - Clinical Social Worker 1557621950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Oakland College of Medicine and Surgery, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daymark Recovery Services IncGroup PAC ID 0547233975, 132 clinicians

Practice addresses (Care Compare)

205 Memorial Dr
Pinehurst, NC 28374-8712
Phone (970) 295-6853

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as group
Quality
89.03
Promoting interoperability
82
Improvement activities
40
Cost
90.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-22360NCMDAddiction (Substance Use Disorder) Counselor
P010057NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Daymark Recovery Services, Inc. Clinical CurrentSince Nov 15, 2017 Accepting new patients

Locations

284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118

1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836

205 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-2040

2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616

130 Carbonton Rd
Sanford, NC 27330
Phone (919) 774-6521

Interoperability endpoints

  • Direct secure messaging: brandie.key.p1@direct.daymarkrecovery.nextgenshare.com

Organizations & group practices 1

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": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1184097974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 EXECUTIVE PARK DR",
            "address_2": "STE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251894",
            "telephone_number": "704-939-1100",
            "fax_number": "704-939-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MEMORIAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748712",
            "telephone_number": "910-295-6853",
            "fax_number": "910-295-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEY",
        "first_name": "BRANDIE",
        "middle_name": "HOLLIFIELD",
        "credential": "MSW, LCSW, LCAS, CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-22360",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "IRA3HZN03140980",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.