Fredric Harvey Bricka in Virginia Beach - Clinical
Fredric Harvey Bricka - NPI 1770565442
Fredric Harvey Bricka is a Clinical in Virginia Beach, Virginia. Fredric Harvey Bricka practices all healthcare services and medical treatments related to Clinical. The NPI Number for Fredric Harvey Bricka is 1770565442. The last update date is 2020-03-16.
Fredric Harvey Bricka's current location address is 3640 S Plaza Trl Ste 103d, Virginia Beach, Virginia. You can contact this provider via phone number 7578184541 and fax number 7572993031. The mailing address for Fredric Harvey Bricka is 3640 S Plaza Trl Ste 103d, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fredric Harvey Bricka |
|---|---|
| Address | 3640 S Plaza Trl Ste 103d, Virginia Beach, Virginia |
| Phone Number | 7578184541 |
| Fax Number | 7572993031 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1770565442 |
|---|---|
| Provider Enumeration Date | 2005-11-17 |
| Last Updated Date | 2020-03-16 |
Provider Mailing Address Detail
| Address | 3640 S Plaza Trl Ste 103d |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 234523363 |
| Phone Number | 7578184541 |
| Fax Number | 7572993031 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904004535 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 083807M | VA | SENTARA | |
| 179019 | VA | BLUE CROSS/BLUE SHIELD | |
| 10142768 | VA | -- |
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What is the unique identification code assigned to Fredric Harvey Bricka by the Centers for Medicare & Medicaid Services?
The Fredric Harvey Bricka has been issued the NPI (National Provider Identifier) 1770565442. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Fredric Harvey Bricka located?
The Fredric Harvey Bricka is located at 3640 S Plaza Trl Ste 103D, Virginia Beach, VA 234523363.
What is Fredric Harvey Bricka's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Fredric Harvey Bricka is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
When was the Fredric Harvey Bricka's 1770565442 issued?
The Fredric Harvey Bricka's 1770565442 was issued on 2005-11-17.
As of what date were the Fredric Harvey Bricka's details last updated?
The information pertaining to the Fredric Harvey Bricka, including its address, specialty, and other details, was most recently updated on 2020-03-16.