Active NPI
Martha Jane Brooks, LCSW MSSW
- Social Worker
- Sneedville, TN
National Provider Identifier
1043314735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW1015
- Practice address
- 333 Campbell Drive
Sneedville, TN 37869 - Phone
- (423) 733-2216
- Fax
- (423) 733-2450
- NPI assigned
- Sep 12, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW1015 | TN | Primary |
Addresses
Primary practice location
333 Campbell Drive
Sneedville, TN 37869
Mailing address
PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12850 | Other | UBH JOHN DEERE | |
| 1002526 | Other | CIGNA MCC | |
| 132697 | Other | VALUEOPTIONS | |
| 3085273 | Other | MAGELLAN SUMMIT | |
| 12850 | Other | UBH EMPLOYER | |
| 12850 | Other | UBH SENIOR | |
| 3085273 | Other | MAGELLAN NAVIGATOR | |
| 138847 | Other | HANCOCK CO ANTHEM PREF | |
| 3085273 | Other | MAGELLAN PINNACLE | |
| 334969 | Other | GROUP VALUEOPTIONS | |
| 12850 | Other | UBH HEALTHPLAN | |
| 138847 | Other | HANCOCK CO ANTHEM PROF |
Other names 1
- Martha J Wilson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW1015 | TN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontier Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hancock County Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sneedville, TN
- NPI 1053475558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1043314735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9054",
"city": "GRAY",
"state": "TN",
"postal_code": "376159054",
"telephone_number": "423-467-3600",
"fax_number": "423-467-3696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 CAMPBELL DRIVE",
"city": "SNEEDVILLE",
"state": "TN",
"postal_code": "37869",
"telephone_number": "423-733-2216",
"fax_number": "423-733-2450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "MARTHA",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "LCSW MSSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "LCSW1015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH JOHN DEERE",
"identifier": "12850",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA MCC",
"identifier": "1002526",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "132697",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN SUMMIT",
"identifier": "3085273",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH EMPLOYER",
"identifier": "12850",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH SENIOR",
"identifier": "12850",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN NAVIGATOR",
"identifier": "3085273",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HANCOCK CO ANTHEM PREF",
"identifier": "138847",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN PINNACLE",
"identifier": "3085273",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP VALUEOPTIONS",
"identifier": "334969",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH HEALTHPLAN",
"identifier": "12850",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HANCOCK CO ANTHEM PROF",
"identifier": "138847",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARTHA",
"last_name": "WILSON",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sneedville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.