Active NPI
Brooke April Michelsen, LCSW
- Clinical Social Worker
- Hickory, NC
National Provider Identifier
1356947261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C017260
- Practice address
- 210 13TH Avenue PL NW Ste 114
Hickory, NC 28601-2568 - Phone
- (980) 399-7055
- NPI assigned
- Dec 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C017260 | NC | Primary |
Addresses
Primary practice location
210 13TH Avenue PL NW Ste 114
Hickory, NC 28601-2568
Mailing address
377 Harbin Rd
Zionville, NC 28698-9789
Phone (980) 399-7055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C017260 | Other | NC | LCSW |
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
| License | State | Type | Specialty |
|---|---|---|---|
| C017260 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grandfather Home for Children | Current | Accepting new patients | |
| Fern Haven Psychotherapy | Current | Accepting new patients |
Locations
158 Grandfather Home Dr
Banner Elk, NC 28604
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.
-
- Mental Health Counselor
- Zionville, NC
- NPI 1336016591
-
- Community/Behavioral Health Agency
- Banner Elk, NC
- NPI 1477610459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1356947261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "377 HARBIN RD",
"city": "ZIONVILLE",
"state": "NC",
"postal_code": "286989789",
"telephone_number": "980-399-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 13TH AVENUE PL NW STE 114",
"city": "HICKORY",
"state": "NC",
"postal_code": "286012568",
"telephone_number": "980-399-7055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHELSEN",
"first_name": "BROOKE",
"middle_name": "APRIL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C017260",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "C017260",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.