Sandra Anne Brooks, MSW
Individual provider Active NPI Clinical Social Worker · Sandusky, MI
NPI 1497879159 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1497879159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801071215 (MI)
- Practice address
- 227 E Sanilac Rd
Sandusky, MI 48471-1160 - Phone
- (810) 648-0330
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- 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 PC
Practice addresses (Care Compare)
7300 Dixie Hwy
Suite 1000
Clarkston, MI 48346-5105
Phone (248) 922-2300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100612000059 | MI | Practitioner - Clinical Social Worker | 2961532239 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downriver Mental Health Clinic PC | Clinical | Current |
Accepting new patients |
| Downriver Mental Health Clinic PC | Clinical | Current |
Accepting new patients |
| Macomb Family Services, Inc. | Clinical | Past |
Accepting new patients |
| Macomb Family Services, Inc | Clinical | Past | Accepting new patients |
| Consumer Services, Inc. | Past | 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) 394-3739
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
- https://api.qualifacts.org/api/fhir/macombfamily/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 6801071215 | MI | Yes |
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
Other providers in Sandusky, MI
- Teressa Bonesteel
- Khristine C Botezan
- Abbey Bowerman
- Robert Elliott Boyle
- Chelsea Brinker
- Janice Brown
- Katelyn Brown
- Monica Rae Brown
- Savannah Brown
- Rhonda Brzezinski
All providers in Sandusky, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.