Active NPI
Diane Rene Britz, LCSW,MSW,BA
- Clinical Social Worker
- Wilmington, NC
National Provider Identifier
1538304126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C010153
- Practice address
- 615 Shipyard Blvd.
Wilmington, NC 28412-6431 - Phone
- (910) 343-0145
- Fax
- (910) 341-5779
- NPI assigned
- Dec 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 006365 | CT | |
| Clinical Social Worker | 1041C0700X | C010153 | NC | Primary |
Addresses
Primary practice location
615 Shipyard Blvd.
Wilmington, NC 28412-6431
Mailing address
615 Shipyard Blvd.
Wilmington, NC 28412-6431
Phone (910) 343-0145
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060669107 | Other | CT | UBH/CONNECTICARE WELLMORE GRP/FACILITY |
| 00802743 | Medicaid | CT | |
| 060669107 | Other | CT | UBH/ OXFORD FREEDOM/LIBERTY WELLMORE GRP/FACILITY |
| 539515 | Other | CT | MHN MANAGED HEALTH NETWORK |
| D339123 141 E MAIN | Other | CT | BEACON HEALTH STRATEGIES |
| 4970561 | Other | CT | CIGNA BEHAVIORAL HEALTH |
| 539515 PENDING | Other | CT | MHN TRICARE NORTH |
| 060669107 | Other | CT | HEALTHYCT WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | OPTUM BEHAVIORAL HEALTH/UBH WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | UBH-UNITED HEALTHCARE WELLMORE GRP/FACILITY |
| 9641730 | Other | CT | AETNA BEHAVIORAL HEALTH |
| 060669107 | Other | CT | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY |
| 12754691 | Other | CT | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C010153 | NC | MD | Clinical Social Worker |
| 006365 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1538304126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 SHIPYARD BLVD.",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126431",
"telephone_number": "910-343-0145",
"fax_number": "910-341-5779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 SHIPYARD BLVD.",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126431",
"telephone_number": "910-343-0145",
"fax_number": "910-341-5779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRITZ",
"first_name": "DIANE",
"middle_name": "RENE",
"name_prefix": "Mrs.",
"credential": "LCSW,MSW,BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-10",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "006365",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C010153",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH/CONNECTICARE WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00802743",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH/ OXFORD FREEDOM/LIBERTY WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN MANAGED HEALTH NETWORK",
"identifier": "539515",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH STRATEGIES",
"identifier": "D339123 141 E MAIN",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "4970561",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN TRICARE NORTH",
"identifier": "539515 PENDING",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHYCT WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTUM BEHAVIORAL HEALTH/UBH WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH-UNITED HEALTHCARE WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "9641730",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS OF CT WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12754691",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.