Brooke Wilson Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BROOKE WILSON WELLNESS

Practice address

85 Keystone Ave Ste 203
Reno, NV 89503-5571

Phone

(775) 510-3797

Fax

(775) 243-6974

NPI assigned

Jun 7, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brooke Wilson, LCSWNPI 1437896479

Title

Owner

Phone

(775) 510-3797

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brooke Wilson, MSW CSW-I

  • Clinical Social Worker
  • Reno, NV
  • NPI 1437896479
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1982446308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 KEYSTONE AVE STE 203",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895035571",
            "telephone_number": "775-510-3797",
            "fax_number": "775-243-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 KEYSTONE AVE STE 203",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895035571",
            "telephone_number": "775-510-3797",
            "fax_number": "775-243-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE WILSON WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-510-3797",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Martha Brokaw
• Amy Michelle Bromley
• Kirk Alan Bronander, M.D.
• Rachel Alia Bronk
• Amara Brook, PH.D.
• Frank Joseph Brooke, RDH
• Valerie Jeanne Brooke, MD
• Alexander Sean Brooks, DO
• Ashley Brooks
• Benita K Brooks, DDS

• Clinical Social Worker in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.