Brooke Morgan Malloy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8971299 Issued in ID

Practice address

1110 W Park PL Ste 303
Coeur D Alene, ID 83814-2784

Phone

(208) 261-2255

Fax

(208) 473-7271

NPI assigned

May 13, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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 Wellness and Relationship Services LLC

  • Marriage & Family Therapist
  • Coeur D Alene, ID
  • NPI 1932773363
  NPD (past)

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1376471797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2684 W LUMBER LN",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838147419",
            "telephone_number": "607-761-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W PARK PL STE 303",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142784",
            "telephone_number": "208-261-2255",
            "fax_number": "208-473-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "BROOKE",
        "middle_name": "MORGAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8971299",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61321313",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Magnuson, APRN
• Scott Karl Magnuson, MD
• Elizabeth Jean Magoon
• Devona Marie Mahal, LPC
• Nicole Major
• Jennifer Malloy, P.T.
• Wendi Malmgren, LMSW
• Jared M Malone, LMSW
• Benjamin Mandel, M.D.
• Megan Marie Maney, P.T.

• Clinical Social Worker in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.