Active NPI
Brooke Nelson, LSCSW, LCSW
- Clinical Social Worker
- Overland Park, KS
National Provider Identifier
1568096881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4219
- Practice address
- 10551 Barkley St Ste 500
Overland Park, KS 66212-1892 - Phone
- (913) 738-4014
- NPI assigned
- Feb 25, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2007024892 | MO | |
| Clinical Social Worker | 1041C0700X | 4219 | KS | Primary |
Addresses
Primary practice location
10551 Barkley St Ste 500
Overland Park, KS 66212-1892
Mailing address
15201 S Kaw Dr
Olathe, KS 66062-3764
Phone (913) 708-0916
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 |
|---|---|---|---|
| 4219 | KS | MD | Clinical Social Worker |
| 2007024892 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resolve Counseling LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1568096881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15201 S KAW DR",
"city": "OLATHE",
"state": "KS",
"postal_code": "660623764",
"telephone_number": "913-708-0916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10551 BARKLEY ST STE 500",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662121892",
"telephone_number": "913-738-4014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "BROOKE",
"credential": "LSCSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-25",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2007024892",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "4219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.