Brooke Lee, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904016395 Issued in VA

Practice address

46 Pine Dr
White Stone, VA 22578-2641

Phone

(804) 480-9104

NPI assigned

Feb 15, 2024

Last updated

Apr 30, 2024By 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

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Middle Peninsula Northern Neck Mental Health & Retardation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gloucester, VA
  • NPI 1497717615
  Medicare reassignment NPD
• Rhodium Care Group Inc

  • Psychologist
  • Lakewood, NJ
  • NPI 1235853698

  VA

  Medicare reassignment NPD
• Holistic Healing for the Mind and Soul, LLC

  • Clinical Social Worker
  • White Stone, VA
  • NPI 1265292841
  Authorized official Same address or phone
• Middle Peninsula-Northern Neck Mental Health and Mental Retardation

  dba Rural Infant Services Program

  • Speech-Language Pathologist
  • Urbanna, VA
  • NPI 1992879282
  NPD

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1194580563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 PINE DR",
            "city": "WHITE STONE",
            "state": "VA",
            "postal_code": "225782641",
            "telephone_number": "804-480-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 PINE DR",
            "city": "WHITE STONE",
            "state": "VA",
            "postal_code": "225782641",
            "telephone_number": "804-480-9104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9228 George Washington Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Gloucester",
            "state": "VA",
            "postal_code": "230614162",
            "country_code": "US",
            "telephone_number": "804-695-8120",
            "fax_number": "804-695-8122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "BROOKE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Home Access Solutions
• Lisa Colette Jenkins-Haynie, MD
• June B Daffeh
• Rachel Louise Kancianic, PA-C
• Martha Kirkland
• Lyfe on Wheels LLC
• Jo Myers Martin, M.D.
• Allison Ovide, PA
• Vonnique Owens
• Peace of Mind Senior Care LLC

• Clinical Social Worker in White Stone, VA
• Providers in White Stone, 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 Apr 30, 2024; 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.