Christine Marie Brinkmann, LCSW

Individual provider Active NPI Clinical Social Worker · Waterloo, IL

NPI 1861029548 · NPPES record last updated Mar 24, 2020

Key facts

NPI
1861029548
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149021948 (IL)
Practice address
5203 KK Rd
Waterloo, IL 62298-3415
Phone
(618) 779-0274
NPI assigned
Mar 24, 2020
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Empower U Counseling, LLC Current
since May 10, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2019028909 MO
Clinical Social Worker 1041C0700X 149021948 IL Yes

Addresses

Primary practice location

5203 KK Rd
Waterloo, IL 62298-3415

Mailing address

5203 KK Rd
Waterloo, IL 62298-3415
Phone (618) 779-0274

Other providers in Waterloo, IL

All providers in Waterloo, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.