Individual
MR. FREDRIC HARVEY BRICKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3640 S PLAZA TRL STE 103D, VIRGINIA BEACH, VA 23452-3363
(757) 818-4541
(757) 299-3031
Mailing address
3640 S PLAZA TRL STE 103D, VIRGINIA BEACH, VA 23452-3363
(757) 818-4541
(757) 299-3031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004535
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010142768
—
VA
01
—
083807M
SENTARA
VA
01
—
179019
BLUE CROSS/BLUE SHIELD
VA
Enumeration date
11/17/2005
Last updated
03/16/2020
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