Individual provider Active NPI

Brielle Reice Kaluzny, LCSW

  • Clinical Social Worker
  • Boone, NC
National Provider Identifier
1225857139
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C017640 Issued in NC
Practice address
838 State Farm Rd Ofc 6
Boone, NC 28607-5307
Phone
(828) 809-3920
NPI assigned
Oct 8, 2024
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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 C017640 NC Primary

Addresses

Primary practice location

838 State Farm Rd Ofc 6
Boone, NC 28607-5307

Mailing address

151 Gragg St
Boone, NC 28607-3562
Phone (910) 777-3115

Other practice location 1

151 Gragg St
Boone, NC 28607-3562
Phone (910) 777-3115

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
I20241209002086 NC Practitioner - Clinical Social Worker 9537695903 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Sep 18, 2024 Accepting new patients
Moment to Moment Counseling PLLC Clinical CurrentSince Oct 1, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

838 State Farm Rd
Ofc 6
Boone, NC 28607
Phone (828) 809-3920

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1225857139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 GRAGG ST",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286073562",
            "telephone_number": "910-777-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 STATE FARM RD OFC 6",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075307",
            "telephone_number": "828-809-3920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Gragg St",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286073562",
            "country_code": "US",
            "telephone_number": "910-777-3115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALUZNY",
        "first_name": "BRIELLE",
        "middle_name": "REICE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.