Active NPI
Brooks Cook, LCSW
- Clinical Social Worker
- Santa Maria, CA
National Provider Identifier
1407865405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 91327
- Practice address
- 324 Suey Rd
Santa Maria, CA 93454-3402 - Phone
- (805) 332-3269
- NPI assigned
- Aug 7, 2006
- Last updated
- May 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 91327 | CA | Primary |
Addresses
Primary practice location
324 Suey Rd
Santa Maria, CA 93454-3402
Mailing address
324 Suey Rd
Santa Maria, CA 93454-3402
Phone (805) 268-0430
Other practice location 1
621 E Cox Ln
Santa Maria, CA 93454-1903
Phone (805) 314-2332
Other names 1
- Sandra Sue Brooks
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588636800000",
"number": "1407865405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 SUEY RD",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934543402",
"telephone_number": "805-268-0430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 SUEY RD",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934543402",
"telephone_number": "805-332-3269"
}
],
"practiceLocations": [
{
"address_1": "621 E Cox Ln",
"address_purpose": "LOCATION",
"city": "Santa Maria",
"state": "CA",
"postal_code": "934541903",
"country_code": "US",
"telephone_number": "805-314-2332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOK",
"first_name": "BROOKS",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "91327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "BROOKS",
"middle_name": "SUE",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.