Brooke Nicole Brouwer, LMSW

Individual provider Active NPI Clinical Social Worker · Jenison, MI

NPI 1982145454 · NPPES record last updated Mar 16, 2017

Key facts

NPI
1982145454
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6801097631 (MI)
Practice address
7086 8TH Ave
Jenison, MI 49428-9352
Phone
(616) 244-2246
NPI assigned
Mar 16, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6801097631MIMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801097631 MI Yes

Addresses

Primary practice location

7086 8TH Ave
Jenison, MI 49428-9352

Mailing address

7086 8TH Ave
Jenison, MI 49428-9352

Other names

  • Brooke Nicole Goalen Former name

Other providers in Jenison, MI

All providers in Jenison, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.