Brooke Fulscher Modlin, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00946241 Issued in WV

Practice address

622 Jefferson St S
Lewisburg, WV 24901-2016

Phone

(303) 523-9052

NPI assigned

Jul 24, 2023

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

Other names 1

• Mrs. Brooke Fulscher Modlin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Monroe County Health Center Board of Trustees

  • Federally Qualified Health Center (FQHC)
  • New Castle, VA
  • NPI 1851585046
  NPD (past)

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1528748464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 JEFFERSON ST S",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249012016",
            "telephone_number": "303-523-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 JEFFERSON ST S",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249012016",
            "telephone_number": "303-523-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODLIN",
        "first_name": "BROOKE",
        "middle_name": "FULSCHER",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00946241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "MODLIN",
            "middle_name": "FULSCHER",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Miller, DO
• Pamela Miller
• Peggy Minear
• Cameron Craig Mitchell
• Helen Marr Mitchell, MD
• Preston Dyer Modlin, ED.D.
• Sabrina Zara Mohsin
• Heidi Molga
• Travis Edward Mollohan, DPT
• Amber Lynn Moody Lopez

• Clinical Social Worker in Lewisburg, WV
• Providers in Lewisburg, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.