Individual provider Active NPI

Richard W. Brice, MSW, LCSW

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1265475537
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004476 Issued in NC
Practice address
1920 Tradd CT
Wilmington, NC 28401-6637
Phone
(910) 343-6890
Fax
(910) 332-1233
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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 C004476 NC Primary

Addresses

Primary practice location

1920 Tradd CT
Wilmington, NC 28401-6637

Mailing address

1606 Physicians Drive Suite 104
Delta Behavioral Health
Wilmington, NC 28401-6637
Phone (910) 343-6890

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
I20040504001473 NC Practitioner - Clinical Social Worker 8022006451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delta Behavioral Health PLLCGroup PAC ID 0143324640, 9 clinicians

Practice addresses (Care Compare)

1606 Physicians Dr
Suite 104
Wilmington, NC 28401-7348
Phone (910) 343-6890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Behavioral Health PLLC CurrentSince Oct 4, 2010 Accepting new patients
Coastalcare Past Accepting new patients

Locations

1920 Tradd Ct
Wilmington, NC 28401
Phone (910) 343-6890

1606 Physicians Dr
Ste 104
Wilmington, NC 28401
Phone (910) 343-6890

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1265475537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 PHYSICIANS DRIVE SUITE 104",
            "address_2": "DELTA BEHAVIORAL HEALTH",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016637",
            "telephone_number": "910-343-6890",
            "fax_number": "910-332-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 TRADD CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016637",
            "telephone_number": "910-343-6890",
            "fax_number": "910-332-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICE",
        "first_name": "RICHARD",
        "middle_name": "W.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.