Brooke A Clark, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904019735 Issued in VA

Practice address

575 Lynnhaven Pkwy Ste 305
Virginia Beach, VA 23452-7350

Phone

(804) 207-6737

NPI assigned

Oct 3, 2017

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 names 1

• Brooke Ainya White Professional name

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Commonwealth Counseling Associates Inc

  • Clinical Psychologist
  • Mechanicsville, VA
  • NPI 1851345805
  Medicare reassignment NPD
• Hope Services, LLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1083938385
  NPD (past)
• Hope Services, LLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1134420169
  NPD (past)
• Specialized Alternative for Families and Youth of South Carolina, Inc.

  • Community/Behavioral Health Agency
  • N Charleston, SC
  • NPI 1417023656
  NPD (past)

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1194235382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LYNNHAVEN PKWY STE 305",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527350",
            "telephone_number": "804-207-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 LYNNHAVEN PKWY STE 305",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527350",
            "telephone_number": "804-207-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BROOKE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904019735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "WHITE",
            "middle_name": "AINYA",
            "credential": "LCSWA, LISW-CP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Clarity and Comfort Home Care
• Clarity Counseling Center LLC
• Alyson Clark
• Arielle R Clark
• Brian Thomas Clark, IDC
• Bryant P Clark, PT
• Caroline Clark
• Cierra Clark
• Grenville Clark, M.P.T.
• Jessica Michelle Clark, D.D.S.

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.