Individual provider Active NPI

Brooke Sharlow, LCSW

  • Clinical Social Worker
  • Dover, DE
National Provider Identifier
1225652589
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001597 Issued in DE
Practice address
523 S Red Haven LN
Dover, DE 19901-6407
Phone
(302) 313-1072
NPI assigned
Jun 2, 2020
Last updated
Jun 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0001597 DE Primary

Addresses

Primary practice location

523 S Red Haven LN
Dover, DE 19901-6407

Mailing address

523 S Red Haven LN Ste 101B
Dover, DE 19901-6407

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0001597DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Counseling Services Clinical CurrentSince Jun 7, 2020 Accepting new patients

Locations

523 S Red Haven Ln
Dover, DE 19901
Phone (302) 313-1072

523 S Red Haven Ln
Ste 101B
Dover, DE 19901

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1225652589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 S RED HAVEN LN STE 101B",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199016407",
            "fax_number": "302-883-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 S RED HAVEN LN",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199016407",
            "telephone_number": "302-313-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARLOW",
        "first_name": "BROOKE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.