Individual provider Active NPI

Alisha Cornell Brill Beard, LCSW

  • Clinical Social Worker
  • Brandon, FL
National Provider Identifier
1760646178
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SSW11434 Issued in FL
Practice address
522 Oakfield Dr
Brandon, FL 33511-5743
Phone
(813) 748-5141
NPI assigned
Jul 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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 SSW11434 FL Primary

Addresses

Primary practice location

522 Oakfield Dr
Brandon, FL 33511-5743

Mailing address

10810 Boyette Unit 1032
Riverview, FL 33568-7043
Phone (813) 748-5141

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SSW11434FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brilliant Clinical Solutions LLC Current Accepting new patients

Locations

522 Oakfield Dr
Brandon, FL 33511
Phone (813) 315-9850

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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1760646178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 BOYETTE UNIT 1032",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335687043",
            "telephone_number": "813-748-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115743",
            "telephone_number": "813-748-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "ALISHA",
        "middle_name": "CORNELL BRILL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SSW11434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.