Active NPI
Brooklyn Jo Lines, LSW
- Social Worker
- Marion, IN
National Provider Identifier
1811596687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 99128789A
- Practice address
- 1331 W 35TH St
Marion, IN 46953-3442 - Phone
- (765) 573-5055
- NPI assigned
- Oct 22, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-140266 | IN | |
| Social Worker | 104100000X | 99128789A | IN | Primary |
Addresses
Primary practice location
1331 W 35TH St
Marion, IN 46953-3442
Mailing address
1331 W 35TH St
Marion, IN 46953-3442
Phone (765) 573-5055
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 |
|---|---|---|---|
| 99128789A | IN | MD | Social Worker |
| RBT-20-140266 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopebridge, LLC | Behavior Technician | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Child & Adolescent Psychiatry Physician
- Kokomo, IN
- NPI 1891820668
Behavior Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1811596687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 W 35TH ST",
"city": "MARION",
"state": "IN",
"postal_code": "469533442",
"telephone_number": "765-573-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 W 35TH ST",
"city": "MARION",
"state": "IN",
"postal_code": "469533442",
"telephone_number": "765-573-5055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINES",
"first_name": "BROOKLYN",
"middle_name": "JO",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-22",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-20-140266",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "99128789A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.