Individual provider Active NPI

Brionna Alston, LCSWA

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1447828249
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P016292 Issued in NC
Practice address
5316 Highgate Dr Ste 222
Durham, NC 27713-6629
Phone
(919) 230-7182
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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 P016292 NC Primary

Addresses

Primary practice location

5316 Highgate Dr Ste 222
Durham, NC 27713-6629

Mailing address

5316 Highgate Dr Ste 222
Durham, NC 27713-6629
Phone (919) 230-7182

Other identifiers 1

IdentifierTypeStateIssuer
P016292OtherNCLCSWA LICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 24, 2024 through Jul 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P016292NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Acacia Collaborative Psychological Services Current Accepting new patients

Locations

570 New Waverly Pl
Ste 210
Cary, NC 27518
Phone (919) 324-4120

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": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1447828249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5316 HIGHGATE DR STE 222",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136629",
            "telephone_number": "919-230-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5316 HIGHGATE DR STE 222",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136629",
            "telephone_number": "919-230-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSTON",
        "first_name": "BRIONNA",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSWA LICENSURE",
            "identifier": "P016292",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.