Individual provider Active NPI

Brenna Mairin Brooks, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1770347882
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5912611-3501 Issued in UT
Practice address
4455 S 700 E Ste 300
Salt Lake City, UT 84107-3076
Phone
(385) 246-1046
NPI assigned
Feb 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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 5912611-3501 UT Primary

Addresses

Primary practice location

4455 S 700 E Ste 300
Salt Lake City, UT 84107-3076

Mailing address

4455 S 700 E Ste 300
Salt Lake City, UT 84107-3076
Phone (385) 246-1046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20260106001795 UT Practitioner - Clinical Social Worker 8224524681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perspective Counseling Services LLCGroup PAC ID 8325534787, 3 clinicians

Practice addresses (Care Compare)

4455 S 700
Suite 300
Salt Lake City, UT 84107-3076
Phone (385) 246-1046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5912611-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Perspective Counseling Services LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

1433 N 1075 W
Ste 104
Farmington, UT 84025
Phone (801) 299-2200

4455 S 700 E
Ste 300
Salt Lake City, UT 84107
Phone (385) 246-1046

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1770347882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 S 700 E STE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073076",
            "telephone_number": "385-246-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 S 700 E STE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073076",
            "telephone_number": "385-246-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "BRENNA",
        "middle_name": "MAIRIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5912611-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.