Active NPI
Mary Campbell Brooker, LICSW, PIP
- Clinical Social Worker
- Sheffield, AL
National Provider Identifier
1134597933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4099C
- Practice address
- 398 Ashe Blvd
Sheffield, AL 35660 - Phone
- (256) 627-1871
- NPI assigned
- Sep 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4099C | AL | Primary |
Addresses
Primary practice location
398 Ashe Blvd
Sheffield, AL 35660
Mailing address
398 Ashe Blvd
Sheffield, AL 35660-1729
Phone (256) 740-7753
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4099C | AL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1134597933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "398 ASHE BLVD",
"city": "SHEFFIELD",
"state": "AL",
"postal_code": "356601729",
"telephone_number": "256-740-7753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "398 ASHE BLVD",
"city": "SHEFFIELD",
"state": "AL",
"postal_code": "35660",
"telephone_number": "256-627-1871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKER",
"first_name": "MARY",
"middle_name": "CAMPBELL",
"credential": "LICSW, PIP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-10",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "4099C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheffield, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.