Brionna McKiver, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P015416 Issued in NC

Practice address

2935 Breezewood Ave Ste 103
Fayetteville, NC 28303-5498

Phone

(910) 491-1758

Fax

(910) 491-1887

NPI assigned

May 17, 2017

Last updated

Jan 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Brionna McKiver Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Second Chance Counseling Services, PLLC

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1801308143
  NPD

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1275060444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 BREEZEWOOD AVE STE 103",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035498",
            "telephone_number": "910-491-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 BREEZEWOOD AVE STE 103",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035498",
            "telephone_number": "910-491-1758",
            "fax_number": "910-491-1887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Fayetteville St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276013000",
            "country_code": "US",
            "telephone_number": "910-366-5641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKIVER",
        "first_name": "BRIONNA",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-17",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIONNA",
            "last_name": "MCKIVER",
            "credential": "LCSWA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Elizabeth A McKinley, MS, CCC-SLP
• Kyle Patrick McKinley, DO
• Carolyn Elise Pockat McKinney, DPT
• Jessica McKinney
• Stephanie Bourne McKithan, FNP-C, APRN, DNP
• Christel McKoy, LCMHC
• Henrietta Elise McKoy
• Jasmine T McKoy
• Jessica McKoy
• Melinda Monica McKoy

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, 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 Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.