Brook Thomas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801102073 Issued in MI

Practice address

1101 Broad St Ste 8
Saint Joseph, MI 49085-2198

Phone

(269) 930-6885

NPI assigned

Jan 7, 2018

Last updated

Jan 7, 2018By the provider in NPPES

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

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

{
    "created_epoch": "1515283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515283200000",
    "number": "1346757739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BROAD ST STE 8",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BROAD ST STE 8",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852198",
            "telephone_number": "269-930-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BROOK",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-07",
        "last_updated": "2018-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801102073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Thibeault
• Shelley Thibeault, NP
• Adam Thiesse, AT, ATC
• Cassie Thiesse, FNP-C
• Thomas Joseph Jennings MD
• Holly Thomas, CRNA
• Robert C. Thomas Jr., MD
• Ellen J. Thomasma, LMSW, ACSW
• Dennis Fred Thompson, MD
• Josiah James Thompson, DPT

• Clinical Social Worker in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2018; 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.