Luke Byron Brocco, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW20029 Issued in FL

Practice address

1114 Thomasville Rd Ste E-3
Tallahassee, FL 32303-6288

Phone

(850) 203-0214

Fax

(855) 595-2914

NPI assigned

Jun 13, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Luke Brocco, LCSW, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tallahassee, FL
  • NPI 1659094142
  NPD Authorized official

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1730748666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 THOMASVILLE RD STE E-3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036288",
            "telephone_number": "850-203-0214",
            "fax_number": "855-595-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 THOMASVILLE RD STE E-3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036288",
            "telephone_number": "850-203-0214",
            "fax_number": "855-595-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCCO",
        "first_name": "LUKE",
        "middle_name": "BYRON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-13",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104100000X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Brinkley
• Tia Denesia Brinson
• Earl B Britt, M. D.
• Geami Britt
• Paula K Brittain, RT CT MR
• Amanda Lynn Brock
• Katie Carroll Brock, NBH-WHC
• Mary M Brock, R.N.
• Debra Lynn Broderick
• Tim Alan Broeseker, MD

• Clinical Social Worker in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.