Brooke Wilson, MSW CSW-I

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9323-M Issued in NV

Practice address

85 Keystone Ave Ste 203
Reno, NV 89503-5571

Phone

(775) 510-3797

NPI assigned

May 19, 2022

Last updated

Jun 7, 2024By 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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Aug 29, 2023 through Aug 29, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Brooke Wilson Wellness

  • Clinical Social Worker
  • Reno, NV
  • NPI 1982446308
  NPD Authorized official
• Edwards and Von Ravensberg, Prof. LLC

  dba Great Basin Behavioral Health and Wellness

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1508279746
  NPD (past)

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1437896479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 KEYSTONE AVE STE 203",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895035571",
            "telephone_number": "775-510-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 KEYSTONE AVE STE 203",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895035571",
            "telephone_number": "775-510-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BROOKE",
        "credential": "MSW CSW-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9323-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camron Willrich
• Wilpsych Prof. LLC
• Patricia Ashley Wilson-Everett, CPC-I
• Alyssa N Wilson
• Brian Joseph Wilson
• Carolyn Anne Wilson
• Cecilia Wilson, CPC-I
• Christopher Nathan Wilson, PTA
• Christopher Robert Wilson, MD
• Wilson, Conkey & Associates, P.C. (Cochrane Family Eyecare)

• Clinical Social Worker in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.