Active NPI
Elicia N Brooks, MA, LSW
- Social Worker
- Zanesville, OH
National Provider Identifier
1235761578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2106293
- Practice address
- 2845 Bell St
Zanesville, OH 43701-1720 - Phone
- (740) 454-9766
- Fax
- (740) 588-6452
- NPI assigned
- Feb 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1901206-TRNE | OH | |
| Social Worker | 104100000X | S.2106293 | OH | Primary |
Addresses
Primary practice location
2845 Bell St
Zanesville, OH 43701-1720
Mailing address
7700 McGlade School Rd
Dresden, OH 43821-9744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0389660 | Medicaid | OH |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1901206-TRNE | OH | MD | Social Worker |
| S.2106293 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1235761578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 MCGLADE SCHOOL RD",
"city": "DRESDEN",
"state": "OH",
"postal_code": "438219744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2845 BELL ST",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437011720",
"telephone_number": "740-454-9766",
"fax_number": "740-588-6452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "ELICIA",
"middle_name": "N",
"credential": "MA, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-05",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1901206-TRNE",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2106293",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0389660",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.