Active NPI
Brooke Charlotte Smith, LMSW-CC
- Clinical Social Worker
- Bangor, ME
National Provider Identifier
1972270056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MC19399
- Practice address
- 700 Mount Hope Ave Ste 320
Bangor, ME 04401-5664 - Phone
- (207) 941-2852
- NPI assigned
- Aug 25, 2021
- 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 | MC19399 | ME | Primary |
Addresses
Primary practice location
700 Mount Hope Ave Ste 320
Bangor, ME 04401-5664
Mailing address
8 Swan Dr
Hampden, ME 04444-1206
Phone (207) 735-8621
Other names 1
- Ms. Brooke Charlotte Getchell
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 |
|---|---|---|---|
| MC19399 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1972270056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 SWAN DR",
"city": "HAMPDEN",
"state": "ME",
"postal_code": "044441206",
"telephone_number": "207-735-8621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 MOUNT HOPE AVE STE 320",
"city": "BANGOR",
"state": "ME",
"postal_code": "044015664",
"telephone_number": "207-941-2852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BROOKE",
"middle_name": "CHARLOTTE",
"name_prefix": "Mrs.",
"credential": "LMSW-CC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-25",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "MC19399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKE",
"last_name": "GETCHELL",
"middle_name": "CHARLOTTE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.