Kristal Brooks, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

719 High St
Portsmouth, VA 23704-3425

Phone

(757) 822-3835

NPI assigned

Jan 17, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Commonwealth Community Development Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portsmouth, VA
  • NPI 1073231106
  NPD (past) Authorized official
• Homeworksva

  • Home Health Agency
  • Portsmouth, VA
  • NPI 1922646504
  NPD (past)

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1649921024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 HIGH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043425",
            "telephone_number": "757-822-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 HIGH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043425",
            "telephone_number": "757-822-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "KRISTAL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015909",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "58.013373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley L Brittman, MD
• Bruce Stuart Britton, MD
• Amanda Joann Brock
• Karin Joyce Brockman, M.D.
• Taylor Lee Brocuglio, CRNA
• Mark Gerald Brooks, MD
• Milan Niah Brooks
• Rebekah R. Brooks, CRNA
• William Richard Brooks, MD
• Brookshaven LLC

• Social Worker in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.