Provider Demographics
NPI:1538898028
Name:BRICKER, DANIEL WAYNE (SOCIAL WORKER)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:WAYNE
Last Name:BRICKER
Suffix:
Gender:M
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MANCHESTER NH VA MEDICAL CENTER
Mailing Address - Street 2:718 SMYTH RD.
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104
Mailing Address - Country:US
Mailing Address - Phone:603-624-4366
Mailing Address - Fax:603-629-3244
Practice Address - Street 1:MANCHESTER NH VA MEDICAL CENTER
Practice Address - Street 2:718 SMYTH RD.
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104
Practice Address - Country:US
Practice Address - Phone:603-624-4366
Practice Address - Fax:603-629-3244
Is Sole Proprietor?:No
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC179731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical