Active NPI
Briana Leigh Whitted, LCSW
- Clinical Social Worker
- Clyde, NC
National Provider Identifier
1881250405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C012752
- Practice address
- 656 Long Branch Rd
Clyde, NC 28721-0635 - Phone
- (828) 702-2259
- NPI assigned
- May 20, 2019
- Last updated
- Feb 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C012752 | NC | Primary |
| Clinical Social Worker | 1041C0700X | 7676 | TN |
Addresses
Primary practice location
656 Long Branch Rd
Clyde, NC 28721-0635
Mailing address
656 Long Branch Rd
Clyde, NC 28721-0635
Phone (828) 702-2259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C012752 | NC | MD | Clinical Social Worker |
| 7676 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689
40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1881250405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "656 LONG BRANCH RD",
"city": "CLYDE",
"state": "NC",
"postal_code": "287210635",
"telephone_number": "828-702-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "656 LONG BRANCH RD",
"city": "CLYDE",
"state": "NC",
"postal_code": "287210635",
"telephone_number": "828-702-2259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTED",
"first_name": "BRIANA",
"middle_name": "LEIGH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-20",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C012752",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "7676",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clyde, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.