Brooke Skinner-Drawz, LICSW, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17638 Issued in MN

Practice address

8441 Wayzata Blvd
#140
Golden Valley, MN 55426-1344

Phone

(651) 769-6300

Fax

(651) 769-6349

NPI assigned

Aug 30, 2015

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Skinner-Drawz Psychotherapy L.L.C.

  • Clinical Social Worker
  • Wayzata, MN
  • NPI 1760102131
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1440892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440892800000",
    "number": "1477920056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8441 WAYZATA BLVD",
            "address_2": "#140",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8441 WAYZATA BLVD",
            "address_2": "#140",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261344",
            "telephone_number": "651-769-6300",
            "fax_number": "651-769-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER-DRAWZ",
        "first_name": "BROOKE",
        "credential": "LICSW, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-30",
        "last_updated": "2015-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "17638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Louise Singleton, PTA
• Jillian Sirany
• Jennifer L Sisell
• Michael Sitzman, PHARMD.
• Lois C Sjogren, CBPMM
• Hans Carl Skulstad, LMFT
• Jennie Louise Gorres Skulstad, M.S, LMFT
• Chad Allan Slattengren, PTA
• Lisa Anne Slezak-Moser, MA
• Nikole Allyce Slocum, LPCC

• Clinical Social Worker in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.