NPIMap

Willermine Brookins, COUNSELOR-CASE MGMT

Individual provider Active NPI Case Manager/Care Coordinator · Indiantown, FL

NPI 1326324294 · NPPES record last updated Mar 23, 2021

Key facts

NPI
1326324294
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
15818 SW Warfield Blvd
Indiantown, FL 34956-3513
Phone
(772) 940-6755
Fax
(772) 446-9744
NPI assigned
Oct 24, 2011
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Hands Multi Care Support Services LLC Current Accepting new patients
2ND Corinthians Outreach Ministries Inc. Case Manager/Care Coordinator Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

15818 SW Warfield Blvd
Indiantown, FL 34956-3513

Mailing address

15818 SW Warfield Blvd
Indiantown, FL 34956-3513
Phone (772) 940-6755

Other names

  • Willermine Pettway Former name

Other providers in Indiantown, FL

All providers in Indiantown, FL · Case Manager/Care Coordinator in Florida

Sources for this page

Verify at the official NPI Registry.