Fredric Harvey Bricka, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904004535 Issued in VA

Practice address

3640 S Plaza TRL Ste 103D
Virginia Beach, VA 23452-3363

Phone

(757) 818-4541

Fax

(757) 299-3031

NPI assigned

Nov 17, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Beacon Psychotherapy Services, LLC

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1972016376
  Medicare reassignment NPD Authorized official
• Tidewater Psychotherapy Services

  • Addiction (Substance Use Disorder) Counselor
  • Virginia Beach, VA
  • NPI 1164536496
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1770565442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 S PLAZA TRL STE 103D",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234523363",
            "telephone_number": "757-818-4541",
            "fax_number": "757-299-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 S PLAZA TRL STE 103D",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234523363",
            "telephone_number": "757-818-4541",
            "fax_number": "757-299-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKA",
        "first_name": "FREDRIC",
        "middle_name": "HARVEY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "083807M",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "179019",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010142768",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen A Brennen, CRNA
• Donald Patrick Bresnahan, D.C.
• Tishauna Brevard
• Mary Brewer, LPTA
• Shemiah Brewington
• Renee Ann Brickles, CRNA
• Dan Ward Briddell, PH.D.
• Bridgehaven Medical Equipment LLC
• Bridgepoint Community Services
• Bridges Alcohol and Drug Rehabilitation Centers

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.