NPIMap

Organization Active NPI

Brooke Chamberland, Licsw

  • Clinical Social Worker
  • Fitchburg, MA
National Provider Identifier
1013393206
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
116906 Issued in MA
Legal business name
BROOKE CHAMBERLAND, LICSW
Practice address
982B South St
Fitchburg, MA 01420
Phone
(978) 956-4557
Fax
(978) 319-4162
NPI assigned
Aug 11, 2015
Last updated
Sep 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brooke Marie Chamberland, LICSWNPI 1083786131
Title
Owner
Phone
(978) 956-4557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 116906 MA Primary

Addresses

Primary practice location

982B South St
Fitchburg, MA 01420

Mailing address

982B South St
Fitchburg, MA 01420
Phone (978) 956-4557

National Provider Directory

National Provider Directory

Locations

982 South St
#B
Fitchburg, MA 01420
Phone (978) 956-4557

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1013393206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "982B SOUTH ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "01420",
            "telephone_number": "978-956-4557",
            "fax_number": "978-319-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "982B SOUTH ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "01420",
            "telephone_number": "978-956-4557",
            "fax_number": "978-319-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE CHAMBERLAND, LICSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAND",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-956-4557",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.