Active NPI
Eric Trevor Brooks
- Clinical Social Worker
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14564
- Practice address
- 901 H St NE
Washington, DC 20002-6979 - Phone
- (202) 812-0261
- NPI assigned
- Apr 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14564 | MD | Primary |
Addresses
Primary practice location
901 H St NE
Washington, DC 20002-6979
Mailing address
2900 Largo Rd
Upper Marlboro, MD 20772-7873
Phone (301) 752-8878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4175 N Hanson Court
201 Luminis Health Breast Center of Bowie
Bowie, MD 20716-3181
Phone (443) 481-5300
4175 N Hanson CT
Bowie, MD 20716-3181
8200 Good Luck Rd
Lanham, MD 20706-3511
Phone (301) 623-4350
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.45 of 100
- Quality
- 67.28
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 72.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14564 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Single Specialty | Current | Accepting new patients |
| Luminis Health Medical Group, LLC | Single Specialty | Current | Accepting new patients |
| Thrive Counseling LLC | Single Specialty | Current | Accepting new patients |
Locations
4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199
6076 Franconia Rd
Ste D
Alexandria, VA 22310
Phone (703) 828-9054
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
Organizations & group practices 4
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.
-
- Surgery Physician
- Annapolis, MD
- NPI 1649248485
DC, Single Specialty
-
- Clinic/Center
- Annapolis, MD
- NPI 1053944728
-
- Internal Medicine Physician
- Bowie, MD
- NPI 1720835010
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587945600000",
"number": "1679194047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 LARGO RD",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207727873",
"telephone_number": "301-752-8878",
"fax_number": "301-627-4617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 H ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200026979",
"telephone_number": "202-812-0261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "ERIC",
"middle_name": "TREVOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-27",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "14564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.