Jadelyn Brooks

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

20 Rich St
Buffalo, NY 14211-3020

Phone

(716) 895-7715

NPI assigned

Nov 14, 2019

Sex

Female

Sole proprietor

No

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.

• Shurmatz Counseling LCSW PC

  • Clinical Social Worker
  • Cheektowaga, NY
  • NPI 1225597768

  NY

  Medicare reassignment
• Catholic Charities of Buffalo

  • Community/Behavioral Health Agency
  • Buffalo, NY
  • NPI 1962596718
  NPD

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 14, 2025.

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1942845839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950A UNION ROAD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "14224",
            "telephone_number": "716-954-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RICH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142113020",
            "telephone_number": "716-895-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JADELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tavia Shalese Brooks-Vines, LPN
• Carlton Anthony Brooks Jr.
• Chelsea Brooks
• David M Brooks, MD
• Ivory Brooks
• Jahmier Brooks
• Kimberly Brooks, LPN
• Orincia Brooks
• Samantha Brooks
• Victoria Lynn Brooks, MD

• All providers in Buffalo, NY
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.