Richard Brooks, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27401 Issued in MN

Practice address

125 Landmark Dr NE
Owatonna, MN 55060-1628

Phone

(507) 461-0967

NPI assigned

Apr 5, 2021

Last updated

Sep 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Full Circle Counseling and Wellness, PC

  • Mental Health Counselor
  • Owatonna, MN
  • NPI 1831739788

  Clinical

  NPD (past)

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1083293385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14837 RICE LAKE DR",
            "city": "WASECA",
            "state": "MN",
            "postal_code": "560934648",
            "telephone_number": "507-461-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LANDMARK DR NE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550601628",
            "telephone_number": "507-461-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "RICHARD",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "27401",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Breyer, RN
• Bridge Street Chiropractic, LTD. (Bridges Chiropractic Health Clinic)
• Brighter Skies Psychiatry LLC
• Brookdale Senior Living Communities, Inc. (Sterling House of Owatonna)
• Brookdale Senior Living Communities, Inc. (Clare Bridge Cottage of Owatonna)
• Shannon R Brown, LPCC
• Emma Brumfield, PHARMD
• Karissa Kay Buck, NP
• Robert J Buckingham, RN
• Donald T Buisman, MD

• Clinical Social Worker in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.