Individual provider Active NPI

Sandra Anne Brooks, MSW

  • Clinical Social Worker
  • Sandusky, MI
National Provider Identifier
1497879159
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801071215 Issued in MI
Practice address
227 E Sanilac Rd
Sandusky, MI 48471-1160
Phone
(810) 648-0330
NPI assigned
Mar 19, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 6801071215 MI Primary

Addresses

Primary practice location

227 E Sanilac Rd
Sandusky, MI 48471-1160

Mailing address

227 E Sanilac Rd
Sandusky, MI 48471-1160
Phone (810) 648-0330

Other practice location 1

10100 Lambs Rd
Wales, MI 48027-2801
Phone (810) 392-3724

Other practice location 2

10100 Lambs Rd
Wales, MI 48027-2801
Phone (810) 392-3724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20100612000059 MI Practitioner - Clinical Social Worker 2961532239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians

Practice addresses (Care Compare)

7300 Dixie Hwy
Suite 1000
Clarkston, MI 48346-5105
Phone (248) 922-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC Clinical CurrentSince Dec 26, 2024 Accepting new patients
Downriver Mental Health Clinic PC Clinical CurrentSince Dec 26, 2024 Accepting new patients
Consumer Services, Inc. Past Accepting new patients
Macomb Family Services, Inc Clinical Past Accepting new patients
Macomb Family Services, Inc. Clinical PastSince Jan 1, 1995 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

7300 Dixie Hwy
Ste 1000
Clarkston, MI 48346
Phone (248) 922-2230

1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787

1100 Torrey Rd
Ste 100
Fenton, MI 48430
Phone 8104947180106

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/macombfamily/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497879159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 E SANILAC RD",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711160",
            "telephone_number": "810-648-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 E SANILAC RD",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711160",
            "telephone_number": "810-648-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10100 Lambs Rd",
            "address_purpose": "LOCATION",
            "city": "Wales",
            "state": "MI",
            "postal_code": "480272801",
            "country_code": "US",
            "telephone_number": "810-392-3724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10100 Lambs Rd",
            "address_purpose": "LOCATION",
            "city": "Wales",
            "state": "MI",
            "postal_code": "480272801",
            "country_code": "US",
            "telephone_number": "810-392-3724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "SANDRA",
        "middle_name": "ANNE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801071215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, MI

Sources for this page

Verify at the official NPI Registry.