Active NPI
Jessica Brodie
- Clinical Social Worker
- Georgetown, TX
National Provider Identifier
1811817737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 107579
- Practice address
- 103 E 8TH St
Georgetown, TX 78626-5801 - Phone
- (737) 888-4010
- NPI assigned
- Jul 20, 2026
- Last updated
- Jul 20, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 107579 | TX | Primary |
Addresses
Primary practice location
103 E 8TH St
Georgetown, TX 78626-5801
Mailing address
103 Pine Bluff Dr
La Porte, TX 77571-6623
Phone (832) 526-1696
Other practice location 1
40005 Heritage Holw Lot 67
Georgetown, TX 78626-4451
Phone (832) 526-1696
Other practice location 2
103 Pine Bluff Dr
LA Porte, TX 77571-6623
Phone (832) 526-1696
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 |
|---|---|---|---|
| 107579 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1811817737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 PINE BLUFF DR",
"city": "LA PORTE",
"state": "TX",
"postal_code": "775716623",
"telephone_number": "832-526-1696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 E 8TH ST",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786265801",
"telephone_number": "737-888-4010"
}
],
"practiceLocations": [
{
"address_1": "40005 Heritage Holw Lot 67",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "TX",
"postal_code": "786264451",
"country_code": "US",
"telephone_number": "832-526-1696",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "103 Pine Bluff Dr",
"address_purpose": "LOCATION",
"city": "LA Porte",
"state": "TX",
"postal_code": "775716623",
"country_code": "US",
"telephone_number": "832-526-1696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRODIE",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-20",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "107579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
- Michaelanne E Briggs, DDS, MD
- Fredy Julian Briones Jr.
- Nicole A Bristol, APRN, PMHNP-BC
- Bruce Buckley Britain, D.C.
- Julia Britt, LPA
- Brookdale Senior Living Communities, Inc. (Sterling House of Georgetown)
- Michael F Brooking, LPC ASSOCIATE
- Taylor Alexis Brooks, DC
- Amanda Broomhall, FNP
- Sandra Brougher, NTP, CFNC, FNLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.