Debra Jean Brockert, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-43677 Issued in ID

Practice address

7285 W Franklin Rd
Boise, ID 83709-0926

Phone

(208) 853-5095

Fax

(208) 853-5125

NPI assigned

Jul 18, 2023

Sex

Female

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

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1912687765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 N RECORDS AVE APT E101",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466707",
            "telephone_number": "208-283-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7285 W FRANKLIN RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090926",
            "telephone_number": "208-853-5095",
            "fax_number": "208-853-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKERT",
        "first_name": "DEBRA",
        "middle_name": "JEAN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-43677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Broadnax
• Broadway Chiropractic Center Professional Association
• Hanna Brock
• Natalie Brock, FNP
• Seiji Brock, LCPC
• Daniel J Broderick, DO
• Melva June Broderick, R.N.
• Thomas W Broderick, M.D.
• Bronco Senior Services (Hillcrest)
• Jason Bronner, MD

• Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.