Active NPI
Abigail Aileen Brooks, LICSW
- Clinical Social Worker
- Rochester, MN
National Provider Identifier
1760602536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10607
- Practice address
- 251 Wood Lake SE
Rochester Community Behavioral Health Hospital
Rochester, MN 55904 - Phone
- (952) 206-2573
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- 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 | 10607 | MN | Primary |
Addresses
Primary practice location
251 Wood Lake SE
Rochester Community Behavioral Health Hospital
Rochester, MN 55904
Mailing address
17057 Eagleview Way
Farmington, MN 55024-7304
Phone (612) 913-6590
Other names 1
- Aileen Frances Ockwig
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10607 | MN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338940800000",
"number": "1760602536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17057 EAGLEVIEW WAY",
"city": "FARMINGTON",
"state": "MN",
"postal_code": "550247304",
"telephone_number": "612-913-6590",
"fax_number": "507-206-2573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 WOOD LAKE SE",
"address_2": "ROCHESTER COMMUNITY BEHAVIORAL HEALTH HOSPITAL",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "55904",
"telephone_number": "952-206-2573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "ABIGAIL",
"middle_name": "AILEEN",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2012-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "10607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AILEEN",
"last_name": "OCKWIG",
"middle_name": "FRANCES",
"credential": "LICSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.