Patricia Prichard, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P011119 Issued in NC

Practice address

3208 Oleander Dr
Wilmington, NC 28403-0800

Phone

(910) 794-3929

Fax

(910) 798-2303

NPI assigned

Apr 3, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physician Alliance for Mental Health, LLC

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1285882928
  NPD

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1790217156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15511",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284085511",
            "telephone_number": "910-228-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284030800",
            "telephone_number": "910-794-3929",
            "fax_number": "910-798-2303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 Covil Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284032684",
            "country_code": "US",
            "telephone_number": "910-332-5734",
            "fax_number": "910-332-5739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICHARD",
        "first_name": "PATRICIA",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790217156",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donielle Maria Preusser, MSW, LCSW
• Kaylee Price, OTD
• Mary Elizabeth Price, PA-C
• Mary Elizabeth Price, M.D.
• Nicole Ashton Price
• Pride in North Carolina, LLC
• David Collins Pridgen, LCMHCA
• Danille Prime, M.D.
• Marilynn A Prince-Fiocco, MD
• Wendy Marie Principe, FNP

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.