Individual provider Active NPI

Suzzy Brooks, LCSW

  • Social Worker
  • Hollywood, FL
National Provider Identifier
1063616043
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2421 Hollywood Blvd
Hollywood, FL 33020-6605
Phone
(800) 801-0366
Fax
(954) 923-9190
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

2421 Hollywood Blvd
Hollywood, FL 33020-6605

Mailing address

2421 Hollywood Blvd
Hollywood, FL 33020-6605
Phone (800) 801-0366

Other names 1

  • Mrs. Lia S Brooks Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150203001434 FL Practitioner - Clinical Social Worker 8426373002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Infinite Behavioral Health, IncGroup PAC ID 9638340037, 2 clinicians

Practice addresses (Care Compare)

2421 Hollywood Blvd
Suite 2
Hollywood, FL 33020-6605
Phone (954) 923-9111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Behavioral Health, Inc CurrentSince Aug 18, 2014 Accepting new patients
Julie D Bruno PA Past Accepting new patients

Locations

2421 Hollywood Blvd
Ste 1
Hollywood, FL 33020
Phone (954) 923-9111

2421 Hollywood Blvd
Hollywood, FL 33020
Phone (305) 965-6802

2421 Hollywood Blvd
Ste 12
Hollywood, FL 33020
Phone (954) 923-9111

2421 Hollywood Blvd
Ste 2
Hollywood, FL 33020
Phone (954) 881-1129

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1063616043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206605",
            "telephone_number": "800-801-0366",
            "fax_number": "954-923-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206605",
            "telephone_number": "800-801-0366",
            "fax_number": "954-923-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "SUZZY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIA",
            "last_name": "BROOKS",
            "middle_name": "S",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.