Alan Robert Brailsford de Lopez, LCSW LCAS CSI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012166 Issued in NC

Practice address

201 N Front St Ste 704
Wilmington, NC 28401-5090

Phone

(910) 769-9126

Fax

(910) 769-9169

NPI assigned

Dec 6, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

La Serenidad PLLCGroup PAC ID 8426423161, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• La Serenidad PLLC

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1427707660

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD Authorized official
• Coastal Horizons Center, Inc.

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1922022607
  Medicare reassignment NPD
• Family Ties of Brunswick, LLC

  • Professional Counselor
  • Wilmington, NC
  • NPI 1831682665

  Clinical

  Medicare reassignment NPD
• Coastal Horizons Center Inc

  • Community/Behavioral Health Agency
  • Rocky Point, NC
  • NPI 1063082592
  NPD
• Coastal Horizons Center, Inc

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1033420153
  NPD
• Coastal Horizons Center, Inc.

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1790985448
  NPD
• East Coast Rehab Partners, PLLC

  • Speech-Language Pathologist
  • Wilmington, NC
  • NPI 1356915797
  NPD

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637452800000",
    "number": "1235600057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N FRONT ST STE 704",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284015090",
            "telephone_number": "910-769-9126",
            "fax_number": "910-769-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N FRONT ST STE 704",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284015090",
            "telephone_number": "910-769-9126",
            "fax_number": "910-769-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAILSFORD DE LOPEZ",
        "first_name": "ALAN",
        "middle_name": "ROBERT",
        "credential": "LCSW LCAS CSI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-06",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-23672",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Bradshaw
• Brady J. Semmel, DMD, MD, PA
• Jennifer Brady
• Katherine Brady, CCC-SLP
• Kevin Brady, DPM
• Adam C. Braithwaite, MD
• John Paul Bramblett Jr., PHD
• Chloe Bramer-Payne
• Branch Consultants, LLC
• Christine T Branco, P.T.

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2021; 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.

Verify at the official NPI Registry.