| Brianna Nicole Fly, LCSW | |
|
108 W Fire Tower Rd, Winterville, NC 28590-8371 | |
| (252) 744-8342 | |
| (252) 744-1890 |
| Full Name | Brianna Nicole Fly |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 108 W Fire Tower Rd, Winterville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144839986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | PENDING (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C015606 (North Carolina) | Primary |
| Entity Name | East Carolina University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972551919 PECOS PAC ID: 0244143246 Enrollment ID: O20031106000400 |
| Entity Name | Pride In North Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760420186 PECOS PAC ID: 9638105869 Enrollment ID: O20050711000558 |
| Mailing Address | Practice Location Address |
|---|---|
| Brianna Nicole Fly, LCSW Po Box 751069, Charlotte, NC 28275-1069 Ph: () - | Brianna Nicole Fly, LCSW 108 W Fire Tower Rd, Winterville, NC 28590-8371 Ph: (252) 744-8342 |
Lauralee Selvina Fuhrmann, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 Holly Grove Dr, Winterville, NC 28590 Phone: 252-422-7444 | |
Ms. Dayna Farrington, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 150 E Fire Tower Rd Ste C, Winterville, NC 28590 Phone: 252-916-8268 | |
Mrs. Yolanda Roshel Soney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1403 Trafalgar Rd, Winterville, NC 28590 Phone: 252-830-2149 | |
Ms. Katie Jane Leegins-vinson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 154 Beacon Dr, Suite I, Winterville, NC 28590 Phone: 252-353-1114 Fax: 252-353-1119 | |
Savannah Leigh Black, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610a Old Tar Village Rd, Winterville, NC 28590 Phone: 252-364-8972 Fax: 252-364-8971 | |
Monesha Battle, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 665 Grasmere St, Winterville, NC 28590 Phone: 252-481-2443 |