Active NPI
Jacqualine Margaret Brooks, MSW
- Social Worker
- Capitol Heights, MD
National Provider Identifier
1427705003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 09309
- Practice address
- 603 Sisalbed CT
Capitol Heights, MD 20743-3337 - Phone
- (301) 828-0835
- NPI assigned
- Mar 3, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 09309 | MD | Primary |
Addresses
Primary practice location
603 Sisalbed CT
Capitol Heights, MD 20743-3337
Mailing address
603 Sisalbed CT
Capitol Heights, MD 20743-3337
Phone (301) 828-0835
Other names 1
- Jacqualine Brooks Asuquo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1987
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Pittsburgh, PA 15251
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09309 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interdynamics, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Landover, MD
- NPI 1770135261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646265600000",
"number": "1427705003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 SISALBED CT",
"city": "CAPITOL HEIGHTS",
"state": "MD",
"postal_code": "207433337",
"telephone_number": "301-828-0835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 SISALBED CT",
"city": "CAPITOL HEIGHTS",
"state": "MD",
"postal_code": "207433337",
"telephone_number": "301-828-0835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "JACQUALINE",
"middle_name": "MARGARET",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-03",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "09309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUALINE",
"last_name": "ASUQUO",
"middle_name": "BROOKS",
"credential": "MSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Capitol Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.