Individual provider Active NPI

Robin Bernal Brooks, M.S.W.

  • Clinical Social Worker
  • Palm Springs, CA
National Provider Identifier
1740360304
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 11833 Issued in CA
Practice address
611 S Palm Canyon Dr
#7-328
Palm Springs, CA 92264-7213
Phone
(760) 656-7056
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW 11833 CA Primary

Addresses

Primary practice location

611 S Palm Canyon Dr
#7-328
Palm Springs, CA 92264-7213

Mailing address

611 S Palm Canyon Dr
#7-328
Palm Springs, CA 92264-7213
Phone (510) 414-9222

Other names 1

  • Ms. Robin Brooks Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180405001104 CA Practitioner - Clinical Social Worker 6406119387 Practice locations: Cathedral City, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

611 S Palm Canyon Dr
7 328
Palm Springs, CA 92264-7213

67495 E Palm Canyon Dr
Cathedral City, CA 92234-5450
Phone (510) 414-9222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 11833CAMDClinical Social Worker
11833CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1740360304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S PALM CANYON DR",
            "address_2": "#7-328",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922647213",
            "telephone_number": "510-414-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S PALM CANYON DR",
            "address_2": "#7-328",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922647213",
            "telephone_number": "760-656-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ROBIN",
        "middle_name": "BERNAL",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 11833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "BROOKS",
            "prefix": "MS.",
            "credential": "M.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.