Andre Brooks, MSW, LCSWA, LCASA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P021542 Issued in NC

Practice address

3126 Milton Rd Ste 233
Charlotte, NC 28215-3782

Phone

(704) 817-9117

NPI assigned

Nov 10, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Village Behavioral Healthcare Services, Inc

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1164878880

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1871006973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 CHAMBERS DR APT 16",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 MILTON RD STE 233",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153782",
            "telephone_number": "704-817-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ANDRE",
        "credential": "MSW, LCSWA, LCASA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-10",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookdale Place of South Charlotte, LLC
• Melissa Virginia Brooker
• Alex J Brooket, DPT
• Leanna Brooks Evariste, MD
• Latifa Jamila Brooks-Clark, LCSWA
• Anna Harryman Brooks, MPT
• Ashleigh Jordan Brooks, LCMHC
• Benjamin Brooks, MD
• Brianna Nicole Brooks
• Chloe Brooks

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.