Amy Lynn Brooks, LGSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29910 Issued in MN

Practice address

2421 London Rd
Duluth, MN 55812-2222

Phone

(218) 789-2542

NPI assigned

Jul 15, 2021

Last updated

Jul 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MN

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

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.

• Psych North PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Duluth, MN
  • NPI 1760136964
  Medicare reassignment NPD

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1386216547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 NEW ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558062114",
            "telephone_number": "218-340-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 LONDON RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558122222",
            "telephone_number": "218-789-2542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "324 W Superior St Ste 620",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558021723",
            "country_code": "US",
            "telephone_number": "218-606-1797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "29910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Jean Brockman, CCC, SLP
• Robyn Lynn Brokaw, PT
• Steven John Broker, APRN, CNP
• Kenneth Alcuin Bromen, MD
• Shannon Brookhouser, PA-C
• Kent Robert Brorson, PH.D., CCC-SLP
• Bonita Marie Brost
• Joseph Broughton, PHARMD, BCOP
• Amy Ruth Brown-Holappa
• Megan Brown-Holmes, PA-C

• Clinical Social Worker in Duluth, MN
• Providers in Duluth, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.