Lisa Renee Brooker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149014228 Issued in IL

Practice address

1 E. Merchants Drive
Suite 303
Oswego, IL 60543-9456

Phone

(630) 200-3589

NPI assigned

Apr 6, 2009

Last updated

Dec 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1154563195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 477",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605430477",
            "telephone_number": "630-200-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E. MERCHANTS DRIVE",
            "address_2": "SUITE 303",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439456",
            "telephone_number": "630-200-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKER",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aaron Brossett, ATC/L
• Shay Brown
• Jennifer C Bruck, DPT
• Sherry Lee Bryant, LCSW CADC LMFT
• Kristin Michelle Buddin, SLP/L

• Clinical Social Worker in Oswego, IL
• Providers in Oswego, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.