Individual provider Active NPI

Donald Earl Brooks, LSW

  • Social Worker
  • Brecksville, OH
National Provider Identifier
1326360991
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S0701508 Issued in OH
Practice address
10000 Brecksville Road
US Dept of Veterans Affairs
Brecksville, OH 44141
Phone
(216) 701-9738
NPI assigned
Feb 23, 2010
Last updated
Feb 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S0701508 OH Primary

Addresses

Primary practice location

10000 Brecksville Road
US Dept of Veterans Affairs
Brecksville, OH 44141

Mailing address

14100 Lake Shore Blvd
Apt 305
Cleveland, OH 44110-1922
Phone (216) 701-9738

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S0701508OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1326360991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 LAKE SHORE BLVD",
            "address_2": "APT 305",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441101922",
            "telephone_number": "216-701-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BRECKSVILLE ROAD",
            "address_2": "US DEPT OF VETERANS AFFAIRS",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "44141",
            "telephone_number": "216-701-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "DONALD",
        "middle_name": "EARL",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0701508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.