Brooke Osterhoudt, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BROOKE OSTERHOUDT, LLC

Practice address

4341 Charlotte Hwy Ste 202
Lake Wylie, SC 29710-7062

Phone

(303) 408-4455

NPI assigned

Jul 23, 2020

Last updated

Jul 23, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

BROOKE OSTERHOUDT, PLLCAs reported in NPPES

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

Authorized official

Name

Shana Lott

Title

Practice Manager

Phone

(303) 408-4455

Specialties & licenses 1

Addresses

Part of

Brooke Osterhoudt LLC

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1679182984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HAMILTONS FERRY RD",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297108911",
            "telephone_number": "303-408-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 CHARLOTTE HWY STE 202",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297107062",
            "telephone_number": "303-408-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE OSTERHOUDT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKE OSTERHOUDT, PLLC",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "LOTT",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "303-408-4455"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard F Biggers, P.T.
• Stacy L Blackmon, DDS
• Karin Johana Bock Mullooly
• Geneva Michelle Bolen, OTR/L
• Laura Bradshaw, MS/CCC-SLP
• Allison Kay Bull, PA-C
• Carolina Family Dentistry at Lake Wylie (Carolina Family Dentistry at Rock Hill)
• Caromont Medical Group, Inc. (CaroMont Urgent Care)
• Jenna Carter, APRN
• Monie B Clifton, O.D.

• Clinical Social Worker in Lake Wylie, SC
• Providers in Lake Wylie, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.