Irene R. Brook, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004757 Issued in NC

Practice address

5003 Oquinn Blvd SE Ste B
Southport, NC 28461-7431

Phone

(910) 457-6335

Fax

(910) 457-6524

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083799191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 OQUINN BLVD SE STE B",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284617431",
            "telephone_number": "910-457-6335",
            "fax_number": "910-457-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 OQUINN BLVD SE STE B",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284617431",
            "telephone_number": "910-457-6335",
            "fax_number": "910-457-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOK",
        "first_name": "IRENE",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002889",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elissa B Both, LCSW
• Brad L. Hilaman MD PA
• Lauren Davis Brady
• Christy Renee Bridges, LMBT, RN
• Kymber Broadhead
• Aaron Lee Brown, D.O.
• Kayde Renee Brown, DPT
• Brunswick Family Medicine PA
• Brunswick Holistic Therapy Inc
• Kurtis Bryan, DMD

• Clinical Social Worker in Southport, NC
• Providers in Southport, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.