Brooke Anderson Sovocool, LICSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

507087 Issued in MA

Practice address

20 Irving St
Worcester, MA 01609-2467

Phone

(508) 799-3020

Fax

(508) 799-8280

NPI assigned

Jul 3, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Brooke Nicole Anderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1326302555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GOLDEN HILL AVE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453041",
            "telephone_number": "508-494-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 IRVING ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092467",
            "telephone_number": "508-799-3020",
            "fax_number": "508-799-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOVOCOOL",
        "first_name": "BROOKE",
        "middle_name": "ANDERSON",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MA",
            "license": "507087",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "ANDERSON",
            "middle_name": "NICOLE",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Catherine Souza
• Mackenzie Souza, MS, LDN
• William A. Sowka Jr.
• Leslie A Soyka, M.D.
• Eden L Spadea, LICSW
• Madeline Spadola
• Kathleen Marie Spadoni, FNP-BC

• School Social Worker in Worcester, MA
• Providers in Worcester, MA by specialty
• School Social Worker in Massachusetts

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