Individual provider Active NPI

Brooke Marie Chamberland, MSW

  • Clinical Social Worker
  • Lunenburg, MA
National Provider Identifier
1083786131
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
116906 Issued in MA
Practice address
24 Mass Ave Ste 1
Lunenburg, MA 01462
Phone
(978) 835-3780
Fax
(978) 319-4162
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brooke Chamberland, Licsw Clinical Past Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 116906 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

24 Mass Ave Ste 1
Lunenburg, MA 01462

Mailing address

24 Mass Ave Ste 1
Lunenburg, MA 01462-1276
Phone (978) 835-3780

Other practice location 1

982B South St
Fitchburg, MA 01420-7142
Phone (978) 956-4557

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 1, 2018.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1083786131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MASS AVE STE 1",
            "city": "LUNENBURG",
            "state": "MA",
            "postal_code": "014621276",
            "telephone_number": "978-835-3780",
            "fax_number": "978-319-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MASS AVE STE 1",
            "city": "LUNENBURG",
            "state": "MA",
            "postal_code": "01462",
            "telephone_number": "978-835-3780",
            "fax_number": "978-319-4162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "982B South St",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "MA",
            "postal_code": "014207142",
            "country_code": "US",
            "telephone_number": "978-956-4557",
            "fax_number": "978-319-4162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERLAND",
        "first_name": "BROOKE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lunenburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.