Individual provider Active NPI

Regina Brinkley Brown, MSW, LCSW, CCS

  • Clinical Social Worker
  • Apex, NC
National Provider Identifier
1639428261
Registry record updated Jun 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P007334 Issued in NC
Practice address
1600 Olive Chapel Rd Ste 108
Apex, NC 27502-6765
Phone
(919) 355-9792
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2019

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 P007334 NC Primary

Addresses

Primary practice location

1600 Olive Chapel Rd Ste 108
Apex, NC 27502-6765

Mailing address

1600 Olive Chapel Rd Ste 108
Apex, NC 27502-6765
Phone (919) 355-9792

Other practice location 1

609 Attain St Ste 101
Fuquay Varina, NC 27526-1984
Phone (919) 567-0684

Other practice location 2

1100 Logger Ct
Suite C100
Raleigh, NC 27609-8525
Phone (919) 844-7770

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
I20150121000887 NC Practitioner - Clinical Social Worker 1951625086 Practice locations: Apex, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1480 Chapel Ridge Rd
Suite 150
Apex, NC 27502-8625

1480 Chapel Ridge Rd
Suite 220
Apex, NC 27502-8504
Phone (919) 355-9792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P007334NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brinkley Brown Mental Wellness PLLC Clinical CurrentSince Apr 6, 2021 Accepting new patients
Performance Family Chiropractic PLLC PastSince Feb 17, 2020 Accepting new patients

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": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560556800000",
    "number": "1639428261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 OLIVE CHAPEL RD STE 108",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275026765",
            "telephone_number": "919-355-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 OLIVE CHAPEL RD STE 108",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275026765",
            "telephone_number": "919-355-9792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 Attain St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fuquay Varina",
            "state": "NC",
            "postal_code": "275261984",
            "country_code": "US",
            "telephone_number": "919-567-0684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Logger Ct",
            "address_2": "Suite C100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276098525",
            "country_code": "US",
            "telephone_number": "919-844-7770",
            "fax_number": "919-844-7771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "REGINA",
        "middle_name": "BRINKLEY",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2019-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P007334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

Verify at the official NPI Registry.