Rose Marie Brockman, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

00482 Issued in TX

Practice address

5801 Curzon Ave
Suite 2a
Fort Worth, TX 76107-5800

Phone

(817) 377-0808

Fax

(817) 377-0836

NPI assigned

Dec 18, 2006

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

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710040175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 CURZON AVE",
            "address_2": "SUITE 2A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075800",
            "telephone_number": "817-377-0808",
            "fax_number": "817-377-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 CURZON AVE",
            "address_2": "SUITE 2A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075800",
            "telephone_number": "817-377-0808",
            "fax_number": "817-377-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "ROSE MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "00482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Elizabeth Brock, APRN
• Holly Brock, LPC
• Peter Brock, MSED, ATC, LAT
• Sarah A Brock, L.AC.
• Leslie Richard Brockman, LCSW, LPC, LMFT
• Stephen Gatlin Brogdon, DDS
• Harshal Sunil Broker, MD
• Bronson Clinic, Inc.
• Ross Morgan Bronson, DC
• Brooke Haven Care Home LLC

• Mental Health Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.