Sandra Brosseau

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1380 N College Rd
Wilmington, NC 28405-1438

Phone

(910) 767-0946

NPI assigned

Nov 11, 2014

Sex

Female

Sole proprietor

No

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

Enrolled in NC

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1104222645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 N COLLEGE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284051438",
            "telephone_number": "910-767-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 N COLLEGE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284051438",
            "telephone_number": "910-767-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSSEAU",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05114600",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal K Brooks, M.ED., CCC-SLP
• Grace Brooks, DPT
• Lisa M Brooks, MSW, LCSW
• Melissa Lindsey Brooks, MA, CCC-SLP
• Nikki Thoennes Brooks, RPH
• James Broughman II, MD
• Breanna Jordan Brousseau, NP
• Caroline Jane Brower, PA-C
• Brown & Associates, DDS, PLLC
• Adam Pullan Brown, F.A.C.S.

• Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.