Active NPI
Brookely Nicholson
- Clinical Social Worker
- Waynesville, NC
National Provider Identifier
1972763019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P008233
- Practice address
- 669 S Haywood St
Waynesville, NC 28786-6703 - Phone
- (828) 456-2997
- Fax
- (828) 456-2996
- NPI assigned
- Jun 12, 2008
- Last updated
- Jul 24, 2013
- 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 | P008233 | NC | Primary |
Addresses
Primary practice location
669 S Haywood St
Waynesville, NC 28786-6703
Mailing address
PO Box 728
Sylva, NC 28779-0728
Phone (828) 586-6600
Other names 1
- Brookely Sorrells
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 |
|---|---|---|---|
| P008233 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374624000000",
"number": "1972763019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 728",
"city": "SYLVA",
"state": "NC",
"postal_code": "287790728",
"telephone_number": "828-586-6600",
"fax_number": "828-586-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "669 S HAYWOOD ST",
"city": "WAYNESVILLE",
"state": "NC",
"postal_code": "287866703",
"telephone_number": "828-456-2997",
"fax_number": "828-456-2996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "BROOKELY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-12",
"last_updated": "2013-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P008233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKELY",
"last_name": "SORRELLS",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waynesville, NC
- Torrie Murphy, LCSW, LCAS-A
- Serene C Nagia, DDS
- Kathleen L Neiswonger, LPC-A
- Robyn Elizabeth Nespole, PT
- Nicholas Osborne, DMD (Junaluska Family Dentistry)
- Tessa Nielsen
- No Boundaries Integrated Services for Independent Living
- No Boundaries Intergrated Services for Independent Living
- Elizabeth Lynne Howard Noonan, PH.D.
- Melanie Rose Norman, LCMHC, LCAS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.