Donna Brooks LCSW PLLC
Organization Active NPI Clinical Social Worker · Cary, IL
NPI 1497330245 · NPPES record last updated Mar 14, 2021
Key facts
- NPI
- 1497330245
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- DONNA BROOKS LCSW PLLC
- Practice address
- 214 Crystal St Ste D
Cary, IL 60013-2094 - Phone
- (224) 623-1527
- NPI assigned
- Mar 12, 2021
- Organization subpart
- No
Authorized official
- Name
- Donna Brooks, LCSW
- Title
- Owner
- Phone
- (224) 623-1527
Practitioners 1
-
Donna Jean Brooks, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210324001263 | IL | Part B Supplier - Clinic/Group Practice | 1355758012 |
Receives reassigned benefits from 1 practitioner Practice locations: Cary, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
214 Crystal St Ste D
Cary, IL 60013-2094
Mailing address
207 N River Rd
Fox River Grove, IL 60021-1023
Phone (224) 623-1527
Other providers in Cary, IL
- Kaleigh Cunningham
- Kathleen Cyr
- Sheila Dcamp
- Katherine Suzanne Delgadillo
- Vicki L Den Exter Blokland
- Theresa Donoghue
- Dr Michael E Shery PC
- Gina Duke
- Early Sprout Pediatric Therapy
- Envision Psychological Services, P.C.
All providers in Cary, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.