Individual provider Active NPI

Michelle R Rooker, L.C.S.W.

  • Clinical Social Worker
  • Jackson, MO
National Provider Identifier
1659306876
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2024031448 Issued in MO
Practice address
1512 Briarwood
Jackson, MO 63755-1053
Phone
(540) 845-0763
Fax
(866) 455-5064
NPI assigned
Jul 12, 2006
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904006644 VA
Clinical Social Worker 1041C0700X 2024031448 MO Primary

Addresses

Primary practice location

1512 Briarwood
Jackson, MO 63755-1053

Mailing address

1512 Briarwood
Jackson, MO 63755-1053
Phone (540) 845-0763

Other practice location 1

420 Hudgins Rd
Fredericksburg, VA 22408-4172
Phone (540) 845-0763

Other names 1

  • Michelle R Brooks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090428000059 VA Practitioner - Clinical Social Worker 6103823042 Practice locations: Fredericksburg, VA
I20260401000297 MO Practitioner - Clinical Social Worker 6103823042 Practice locations: Jackson, MO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1512 Briarwood
Jackson, MO 63755-1053
Phone (540) 845-0763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024031448MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1659306876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 BRIARWOOD",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637551053",
            "telephone_number": "540-845-0763",
            "fax_number": "866-455-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 BRIARWOOD",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637551053",
            "telephone_number": "540-845-0763",
            "fax_number": "866-455-5064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Hudgins Rd",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224084172",
            "country_code": "US",
            "telephone_number": "540-845-0763",
            "fax_number": "866-455-5064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROOKER",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006644",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024031448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BROOKS",
            "middle_name": "R",
            "credential": "L.C.S.W",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MO

Sources for this page

Verify at the official NPI Registry.