Provider Demographics
NPI:1053303982
Name:BRICE, MARGARET LECKIE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:LECKIE
Last Name:BRICE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1133 MILITARY CUTOFF RD
Mailing Address - Street 2:STE 210
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-4400
Mailing Address - Country:US
Mailing Address - Phone:910-791-5575
Mailing Address - Fax:910-791-5576
Practice Address - Street 1:1133 MILITARY CUTOFF RD
Practice Address - Street 2:STE 106
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-3684
Practice Address - Country:US
Practice Address - Phone:910-791-5575
Practice Address - Fax:910-791-5576
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-17
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0044771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
B0318OtherMEDCOST
NC6005107Medicaid
0238MOtherBCBS
1608Medicare UPIN