Elouise O. Brooks, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 879 Issued in FL

Practice address

112 Lane Ave S
Jacksonville, FL 32254-3524

Phone

(904) 781-4734

NPI assigned

Feb 5, 2014

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1326462821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41375",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322031375",
            "telephone_number": "904-781-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LANE AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322543524",
            "telephone_number": "904-781-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ELOUISE",
        "middle_name": "O.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "677885296",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Brooks, MD
• Cecilia Brooks, SLP
• Debra C Brooks, RD, LD/N
• Deris Brooks, LMT
• Dulce Maria Brooks
• Jenny Brooks
• Johnnie Ray Brooks, PA-C
• Karli Hannah Brooks
• Katrina Yvette Brooks, LCSW
• Kevin Laron Brooks, B.S.

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.