Active NPI
Bradley Norman Dent, LCSW
- Clinical Social Worker
- Fayetteville, NC
National Provider Identifier
1932205697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C002058
- Practice address
- 1310 Raeford Rd
Fayetteville, NC 28305-5026 - Phone
- (910) 485-6336
- Fax
- (866) 341-7509
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- 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 | C002058 | NC | Primary |
Addresses
Primary practice location
1310 Raeford Rd
Fayetteville, NC 28305-5026
Mailing address
7006 Lamure St
Fayetteville, NC 28311-9307
Phone (910) 488-9966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6003509 | Medicaid | NC |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C002058 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradigm Health Services, Inc | Clinical | Past | Accepting new patients |
| Paradigm Health, LLC | Past | Accepting new patients | |
| Verna Dority, MSW, CCSW, Inc | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Fayetteville, NC
- NPI 1396984225
Clinical
-
- Mental Health Counselor
- Clearwater, FL
- NPI 1942245568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1932205697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7006 LAMURE ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283119307",
"telephone_number": "910-488-9966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 RAEFORD RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055026",
"telephone_number": "910-485-6336",
"fax_number": "866-341-7509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENT",
"first_name": "BRADLEY",
"middle_name": "NORMAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C002058",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6003509",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.