Brooke Elizabeth Warren, M.S., CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0206071 Issued in NY

Practice address

953 High St
Victor, NY 14564-1168

Phone

(585) 924-3252

Fax

(585) 742-7031

NPI assigned

Dec 21, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Canandaigua City School District

  • Local Education Agency (LEA)
  • Canandaigua, NY
  • NPI 1366594889
  NPD (past)
• Victor Central School District

  • Local Education Agency (LEA)
  • Victor, NY
  • NPI 1053478446
  NPD (past)

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1265701221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 N PEARL ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241430",
            "telephone_number": "585-507-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 HIGH ST",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641168",
            "telephone_number": "585-924-3252",
            "fax_number": "585-742-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "BROOKE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0206071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Wallace
• Andrea M Walsh, M.S.
• Warby Parker Inc.
• Karen L Ward, OTR
• Shannon Warden, M.S.
• Erica Wassinger
• Tereza Wasson, M.A.LIC/CCC-SLP TSLD
• Raeann Marie Waterman, MS OTR/L
• Robert Ryan Watson, LCSW
• Sara Julia Weaver, MS/OTR/L

• Speech-Language Pathologist in Victor, NY
• Providers in Victor, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.