Brooke Stone Nathan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904015120 Issued in VA

Practice address

1002 Emerald Dr
Alexandria, VA 22308-2626

Phone

(703) 475-8292

NPI assigned

Feb 13, 2024

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": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1972367688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 EMERALD DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223082626",
            "telephone_number": "703-475-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 EMERALD DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223082626",
            "telephone_number": "703-475-8292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5691 Columbia Pike Ste 200",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220412888",
            "country_code": "US",
            "telephone_number": "703-475-8292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "BROOKE",
        "middle_name": "STONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talah Nassief
• Joesph N Nassif, DDS
• Pavan Nataraj, MD
• Shady Nateeg
• Nathaja Homecare LLC
• Michael Jay Nathan, M.D.
• National Rehabilitation Hospital Inc
• National Vision Inc
• National Vision, Inc.
• National Vision, Inc.

• Clinical Social Worker in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.