Individual provider Active NPI

Brooke E Wetsch, LISW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1730544479
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1700740 Issued in OH
Practice address
1180 E Main St
Columbus, OH 43205-1902
Phone
(614) 645-5535
Fax
(614) 645-5517
NPI assigned
Dec 23, 2015
Last updated
Sep 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 51500646
Clinical Social Worker 1041C0700X I.1700740 OH Primary

Addresses

Primary practice location

1180 E Main St
Columbus, OH 43205-1902

Mailing address

2780 Airport Dr
Ste 100
Columbus, OH 43219-2289
Phone (614) 859-1906

Other names 1

  • Brooke E Pfefferle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180111000954 OH Practitioner - Clinical Social Worker 3375802739 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Neighborhood Health Center, Inc. Current Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Columbus Neighborhood Health Center, Inc. Current Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Columbus Neighborhood Health Center Inc CurrentSince Jan 16, 2018 Accepting new patients
22 W Main Counseling Group LLP Mental Health Past Accepting new patients

Locations

600 N Pickaway St
Ste 300
Circleville, OH 43113
Phone (740) 207-4202

1180 E Main St
Columbus, OH 43205
Phone (614) 253-0861

1500 E 17th Ave
Columbus, OH 43219
Phone (614) 645-2700

1791 Alum Creek Dr
Ste 100
Columbus, OH 43207
Phone (614) 526-5420

1905 Parsons Ave
Columbus, OH 43207
Phone (614) 586-4159

2300 W Broad St
Columbus, OH 43204
Phone (614) 645-2300

240 Parsons Ave
Fl 2
Columbus, OH 43215
Phone (614) 645-7487

2780 Airport Dr
Ste 100
Columbus, OH 43219
Phone (614) 859-1906

3433 Agler Rd
Ste 2800
Columbus, OH 43219
Phone (614) 645-1600

4661 Sawmill Rd
Ste 101
Columbus, OH 43220
Phone (614) 526-3285

L3318
Columbus, OH 43260

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1730544479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 AIRPORT DR",
            "address_2": "STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192289",
            "telephone_number": "614-859-1906",
            "fax_number": "614-645-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051902",
            "telephone_number": "614-645-5535",
            "fax_number": "614-645-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETSCH",
        "first_name": "BROOKE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "51500646",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "PFEFFERLE",
            "middle_name": "E",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.