Active NPI
Brooke Stutler, LMSW
- Clinical Social Worker
- Reno, NV
National Provider Identifier
1508443995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12648-M
- Practice address
- 290 Brinkby Ave Ste 205
Reno, NV 89509-4345 - Phone
- (775) 209-9056
- NPI assigned
- Mar 24, 2021
- Last updated
- Nov 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12648-M | NV | Primary |
Addresses
Primary practice location
290 Brinkby Ave Ste 205
Reno, NV 89509-4345
Mailing address
290 Brinkby Ave Ste 205
Reno, NV 89509-4345
Phone (775) 209-9056
Other names 1
- Blake Stutler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12648-M | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inclusive Counseling LLC | Clinical | Current | Accepting new patients |
| Rite of Passage, Inc | Behavior Technician | Past | Accepting new patients |
Locations
290 Brinkby Ave
Ste 205
Reno, NV 89509
Phone (775) 209-9056
Organizations & group practices 2
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.
-
dba Alliance Family Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Reno, NV
- NPI 1730831991
Behavior Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1508443995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 BRINKBY AVE STE 205",
"city": "RENO",
"state": "NV",
"postal_code": "895094345",
"telephone_number": "775-209-9056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 BRINKBY AVE STE 205",
"city": "RENO",
"state": "NV",
"postal_code": "895094345",
"telephone_number": "775-209-9056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUTLER",
"first_name": "BROOKE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-24",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "12648-M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BLAKE",
"last_name": "STUTLER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.