Kristen Danielle Brooks, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17977 Issued in MD

Practice address

1401 Mercantile LN Ste 433
Upper Marlboro, MD 20774-4301

Phone

(240) 681-9721

Fax

(240) 825-1424

NPI assigned

Feb 6, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristen Danielle Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26139/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Building Beyond Therapy Inc.

  • Clinical Social Worker
  • Upper Marlboro, MD
  • NPI 1548904394
  NPD Authorized official
• Building Beyond Therapy LLC

  • Clinical Social Worker
  • Upper Marlboro, MD
  • NPI 1699278424
  NPD Authorized official

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1023357332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MERCANTILE LN STE 433",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207744301",
            "telephone_number": "240-681-9721",
            "fax_number": "240-825-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MERCANTILE LN STE 433",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207744301",
            "telephone_number": "240-681-9721",
            "fax_number": "240-825-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "KRISTEN",
        "middle_name": "DANIELLE",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "JOHNSON",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Brim, LMSW
• Robin Lynn Briscoe, PHARM.D.
• Alexis Cynthia Britt
• Ilanna Brookins-Jones
• Abigail Brooks
• Leasia Brooks
• Rosemary Brooks
• Seanta Brooks
• Tokitha Brooks
• Carlos Emanuel Brown I

• Clinical Social Worker in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.