Donesha Brothers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012852 Issued in NC

Practice address

905 Halstead Blvd Ste 18
Elizabeth City, NC 27909-6816

Phone

(252) 618-6143

Fax

(252) 616-4847

NPI assigned

Jun 19, 2018

Last updated

Jan 27, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  VA

  Medicare reassignment NPD
• Empowerment Counseling & Coaching, PLLC

  • Clinical Social Worker
  • Elizabeth City, NC
  • NPI 1851981435
  NPD
• Peaceful Waters Counseling and Wellness Center, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Moyock, NC
  • NPI 1811464332

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1376037655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 CLAREMONT CT",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099024",
            "telephone_number": "252-331-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HALSTEAD BLVD STE 18",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096816",
            "telephone_number": "252-618-6143",
            "fax_number": "252-616-4847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 W Church St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279094510",
            "country_code": "US",
            "telephone_number": "252-331-0322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Caratoke Hwy Ste J",
            "address_purpose": "LOCATION",
            "city": "Moyock",
            "state": "NC",
            "postal_code": "279588623",
            "country_code": "US",
            "telephone_number": "252-232-8086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROTHERS",
        "first_name": "DONESHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012643",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Jones Britton, FNP
• Josette Brookins
• Damaris Amber Brooks
• Merry Brooks
• Cheyenne Brothers
• Julie Piscorik Brothers, M.S., CCC/SLP
• Keenan Jordan Brothers
• Kierra Brothers, FNP
• Linda G Brower, PA-C
• Caitlin Brown, MSN, FNP-BC

• Clinical Social Worker in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.