Sarah Caroline Brooks, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C10504 Issued in MS

Practice address

1920 Dunbarton Dr
Jackson, MS 39216-5001

Phone

(601) 982-5376

Fax

(601) 982-5377

NPI assigned

Apr 4, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: imaginebehavioralhealth.sarahcarolibrooks@139031.advancedmd-direct.com

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.

• Imagine, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jackson, MS
  • NPI 1902052962
  NPD

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1578268959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 DUNBARTON DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165001",
            "telephone_number": "601-982-5376",
            "fax_number": "601-982-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 DUNBARTON DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165001",
            "telephone_number": "601-982-5376",
            "fax_number": "601-982-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "SARAH",
        "middle_name": "CAROLINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C10504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elviolet Brooks
• Georgianne Brooks, LSW-MHT
• John C Brooks, M.D.
• Kebrina Brooks, LPN
• Ruth Joy Brooks
• Spencer Brooks, NP
• Tami H. Brooks, M.D.
• Brookshire Grocery Company
• Brookshire Grocery Company
• Sarah J Broom, MD

• Clinical Social Worker in Jackson, MS
• Providers in Jackson, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.

Verify at the official NPI Registry.