Pam F Brooks, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SOW 4852 Issued in FL

Practice address

2715 W Fairbanks Ave
Suite 200
Winter Park, FL 32789-3327

Phone

(407) 647-4224

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407066012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4622 WOODLANDS VILLAGE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328352719",
            "telephone_number": "407-296-8058",
            "fax_number": "407-292-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 W FAIRBANKS AVE",
            "address_2": "SUITE 200",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893327",
            "telephone_number": "407-647-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "PAM",
        "middle_name": "F",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SOW 4852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rando Brito, BACHELOR OF ARTS
• Genesis Brletic
• Courtney Bromfield
• Kirsten N Brondstater, PA
• Catherine L Bronza, LCSW
• Jasmine S Broomfield
• Karen Langfur Broussard, LCSW
• Delaney Brown, CCC-SLP
• Jolanda Monique Brown, BA, MA, ACA, NSLS
• Kalise Brown

• Clinical Social Worker in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.