Kimberly Brooks, MSW (INTERN)

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

777 Central Ave Ste 17
Highland Park, IL 60035-3246

Phone

(847) 441-5600

NPI assigned

Jul 19, 2024

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

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1457199770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 W HIGHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601309",
            "telephone_number": "312-953-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CENTRAL AVE STE 17",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353246",
            "telephone_number": "847-441-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "KIMBERLY",
        "credential": "MSW (INTERN)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Brenner, MA-CCC-SLP
• Matthew Steven Brew, PHARMD
• Marjorie Ann Breyer, RD, LDN
• Judith Friedman Brickman, LCSW
• Richard L. Brickner, MD
• Joel K. Brotman, LCSW
• Jorie Brottman
• Marchele Brown
• Francis Alan Bugaj, DDS
• Srdja Bulatovic, MD

• Clinical Social Worker in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.