Brooke Brown, LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

08399 Issued in NY

Practice address

2452 State Route 9
Ballston Spa, NY 12020-4430

Phone

(518) 292-5433

NPI assigned

Sep 27, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Parsons Child and Family Center

  • Custodial Care Facility
  • Albany, NY
  • NPI 1922171305
  Medicare reassignment NPD
• Parsons Child and Family Center

  • Case Management Agency
  • Albany, NY
  • NPI 1609242395
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1073864294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 VAN TASSELL LN",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 STATE ROUTE 9",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120204430",
            "telephone_number": "518-292-5433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "614 Cooper Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Wynantskill",
            "state": "NY",
            "postal_code": "121982906",
            "country_code": "US",
            "telephone_number": "518-283-6500 x248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BROOKE",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "08399",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "08399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Michael Block, D.C.
• Kayleigh Bornhauser, PHARMD
• Carol Bozzo
• Kaitlin Alyssa Brennan, SLP
• Olivia Brooks, LMSW
• Brittany Ann Bryant, M.S., CCC-SLP
• Burlingame Orthodontics, PLLC
• Michelle L Burlingame, D.M.D., M.S.
• Mary Bussert
• Christine Campbell Callahan, PHD, MSW

• Clinical Social Worker in Ballston Spa, NY
• Providers in Ballston Spa, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.