Individual provider Active NPI

Brooke T Wise, LCSW-C

  • Clinical Social Worker
  • York, PA
National Provider Identifier
1265211817
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24982 Issued in MD
Practice address
116 S George St
York, PA 17401-1474
Phone
(717) 801-4846
NPI assigned
Sep 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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 24982 MD Primary

Addresses

Primary practice location

116 S George St
York, PA 17401-1474

Mailing address

116 S George St
York, PA 17401-1474
Phone (717) 801-4846

Other practice location 1

62 Valley St
Glen Rock, PA 17327-1323
Phone (443) 655-3440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20250820004433 PA Practitioner - Mental Health Counselor 4880194265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family First Health CorporationGroup PAC ID 8022910207, 23 clinicians

Practice addresses (Care Compare)

1230 High St
Hanover, PA 17331-1127
Phone (717) 632-9052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Health Corporation CurrentSince Oct 6, 2025 Accepting new patients
Family First Health Corporation CurrentSince Oct 6, 2025 Accepting new patients

Locations

116 S George St
York, PA 17401
Phone (717) 801-4846

Interoperability endpoints

  • Direct secure messaging: brooke.wise.1@7492.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1265211817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011474",
            "telephone_number": "717-801-4846",
            "fax_number": "717-854-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011474",
            "telephone_number": "717-801-4846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62 Valley St",
            "address_purpose": "LOCATION",
            "city": "Glen Rock",
            "state": "PA",
            "postal_code": "173271323",
            "country_code": "US",
            "telephone_number": "443-655-3440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISE",
        "first_name": "BROOKE",
        "middle_name": "T",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.