Active NPI
Diana Bracey
- Clinical Social Worker
- Henderson, NC
National Provider Identifier
1811619844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 106 Wortham CT
Henderson, NC 27537-4500 - Phone
- (252) 320-9903
- NPI assigned
- Sep 15, 2022
- Last updated
- Sep 15, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
106 Wortham CT
Henderson, NC 27537-4500
Mailing address
406 Little Acres Dr
Knightdale, NC 27545-6774
Phone (919) 210-7175
Other practice location 1
106 Wortham Ct
Henderson, NC 27537-4500
Phone (252) 320-9903
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Steps to New Beginnings LLC | Current | Accepting new patients | |
| Moment of Change Counseling Services, PLLC | Clinical | Current | Accepting new patients |
| Hope Restorative Solutions | Past | Accepting new patients |
Locations
106 Wortham Ct
Henderson, NC 27537
Phone (252) 320-9903
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Louisburg, NC
- NPI 1033814165
-
- Community/Behavioral Health Agency
- Henderson, NC
- NPI 1972123487
Clinical
-
- Adult Mental Health Clinic/Center
- Wake Forest, NC
- NPI 1871176529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1811619844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 LITTLE ACRES DR",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275456774",
"telephone_number": "919-210-7175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 WORTHAM CT",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275374500",
"telephone_number": "252-320-9903"
}
],
"practiceLocations": [
{
"address_1": "106 Wortham Ct",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NC",
"postal_code": "275374500",
"country_code": "US",
"telephone_number": "252-320-9903",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRACEY",
"first_name": "DIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-15",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.