Brooke Lee Altonaga, LCSW
Individual provider Active NPI Clinical Social Worker · Rockledge, FL
NPI 1386908309 · NPPES record last updated Feb 11, 2022
Key facts
- NPI
- 1386908309
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW12031 (FL)
- Practice address
- 500 Barton Blvd Ste 7
Rockledge, FL 32955-3172 - Phone
- (321) 504-3888
- Fax
- (321) 504-3462
- NPI assigned
- Jun 25, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mental Health Resource Center Inc
Practice addresses (Care Compare)
3333 W 20TH St
Jacksonville, FL 32254-1703
Phone (904) 695-9145
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240620004034 | FL | Practitioner - Clinical Social Worker | 2567905334 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Resource Center Inc | Current |
Accepting new patients | |
| Mental Health Resource Center Inc | Current |
Accepting new patients |
Locations
11820 Beach Blvd
Jacksonville, FL 32246
Phone (904) 642-9100
3333 W 20th St
Jacksonville, FL 32254
Phone (904) 384-2364
500 Barton Blvd
Ste 7
Rockledge, FL 32955
Phone (321) 504-3888
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW12031 | FL | Yes |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
500 Barton Blvd Ste 7
Rockledge, FL 32955-3172
Mailing address
500 Barton Blvd Ste 7
Rockledge, FL 32955-3172
Phone (321) 504-3888
Other names
- Brooke Lajoie La
Other providers in Rockledge, FL
- Jeffrey Allen
- Sara Danielle Moore Allen
- Allies in Wellness, LLC
- Alpha Physical Therapy Clinic Inc
- Alpha Physical Therapy Clinic Inc
- Christian Alvarez
- Always Here Home Care of Brevard
- Amazing Kids: Virtual Autism Evaluations
- American Cancer Consultants, P.a.
- American Cancer Treatment Center
All providers in Rockledge, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.