Samantha Brooker, LICSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

120744 Issued in MA

Practice address

321 Manley St
West Bridgewater, MA 02379-1022

Phone

(781) 341-4145

Fax

(781) 297-7345

NPI assigned

Mar 28, 2018

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Old Colony Hospice Inc

  • Family Nurse Practitioner
  • W Bridgewater, MA
  • NPI 1144330002
  NPD (past)
• Old Colony Hospice Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Randolph, MA
  • NPI 1649615477
  NPD (past)

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1497250856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MANLEY ST",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791022",
            "telephone_number": "781-341-4145",
            "fax_number": "781-297-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MANLEY ST",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791022",
            "telephone_number": "781-341-4145",
            "fax_number": "781-297-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKER",
        "first_name": "SAMANTHA",
        "credential": "LICSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Berthiaume, SLP
• Maya Betz-Otero, DPT
• Alison L Boyer, NP
• Bridgewater Primary Care and Cardiology, LLC
• Sophia Briggs
• Dina Brooks, LICSW, ACHP-SW
• Jaqueline Rose Brooks, LMHC
• Molly Brown
• C.M.Z. Family Denitstry
• Cheryl W Cadmus, CCC-SLP

• Clinical Social Worker in West Bridgewater, MA
• Providers in West Bridgewater, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.