Candida M. Brooks-Harrison, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

069261-1 Issued in NY

Practice address

103 B Sterling St
Brooklyn, NY 11225-3318

Phone

(718) 282-5878

NPI assigned

Feb 6, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• The Village Enrichment

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1245584721
  NPD (past) Authorized official

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1306985940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103B STERLING ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253318",
            "telephone_number": "718-282-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 B STERLING ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253318",
            "telephone_number": "718-282-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS-HARRISON",
        "first_name": "CANDIDA",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069261-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooklynrx Inc
• Brooklyns Oral & Maxillofacial Surgery
• Brooks Medical, P.C.
• Sharima Brooks-Bryant, RN
• Gabriel Brooks-Harris, PMHNP-BC
• Alexandra Bunnie Brooks
• Anna Brooks, LMSW
• Brandy Michelle Brooks, PSY.D.
• Charlene Ruth Brooks
• Cristal Brooks, NP

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.