Deneen P. Brooks, MSW, LCSW, LSW, SWII
Individual provider Active NPI Clinical Social Worker · Harvey, IL
NPI 1174328488 · NPPES record last updated Feb 19, 2025
Key facts
- NPI
- 1174328488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149027906 (IL)
- Practice address
- 31 W 155TH St
Harvey, IL 60426-3556 - Phone
- (708) 596-5177
- Fax
- (708) 596-5518
- NPI assigned
- Feb 19, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250611000648 | IL | Practitioner - Clinical Social Worker | 8729598453 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149027906 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Christian Health Center | Current |
Accepting new patients | |
| Family Christian Health Center | Current |
Accepting new patients | |
| Family Christian Health Center | Current | Accepting new patients |
Locations
26 W 154th St
Harvey, IL 60426
Phone (708) 596-5177
15620 Wood St
Harvey, IL 60426
Phone (708) 333-3030
31 W 155th St
Harvey, IL 60426
Phone (708) 596-5177
19767 Torrence Ave
Lynwood, IL 60411
Phone 7085965177 ext. 8793
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149027906 | IL | Yes |
Addresses
Primary practice location
31 W 155TH St
Harvey, IL 60426-3556
Mailing address
31 W 155TH St
Harvey, IL 60426-3556
Phone (708) 596-5177
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149027906 | Other | IL | STATE OF IL LICENSE |
Other providers in Harvey, IL
- Anthony Bothell
- BR Developmental Agency
- Brittani Bradley
- Branches Therapeutic Services, PLLC
- Tiara Lashay Brazill
- Cary S Brown
- Andrew D Bruggeman
- Mickie S. Brunner
- Shandra Lolita Bundy-Smith
- Patricia A Burge
All providers in Harvey, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.