Brooke Robertson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006681 Issued in NC

Practice address

2300 Sardis Rd N
Suite M
Charlotte, NC 28227-7715

Phone

(704) 344-0491

NPI assigned

Mar 18, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1487048229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5124 WILLOW RUN DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107372",
            "telephone_number": "704-776-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SARDIS RD N",
            "address_2": "SUITE M",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277715",
            "telephone_number": "704-344-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1618",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William S Roberts, MD
• Heather Nicole Robertson White, MD
• Alexandra Marie Robertson, OD
• Alice Ann Robertson, CNM, FNP-C
• Brian James Robertson, LCSW
• Chad W. Robertson, D.C., A.T.C.
• Ellen Monaghan Robertson, OTR L
• Erin Nicole Robertson
• Jennifer Robertson
• Jill Anne Robertson, CRNA

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.