Active NPIIndividual providerSole proprietor

Phyllis Brooks, LICSW LIC 1043921

Social Worker, Clinical in Wenham, Massachusetts

NPI Number1043374788
Practice location
225 Main Street, Wenham, MA 01984
Fax
978-774-9218
Last updated
July 8, 2007

Phyllis Brooks is a Social Worker, Clinical based in Wenham, MA. Phyllis Brooks practices in Wenham, MA and has the professional credentials of LICSW LIC 1043921. The NPI Number for Phyllis Brooks is 1043374788 and holds a License No. LICSW 104392-1 (MA). The current practice location address for Phyllis Brooks is 225 Main Street, Wenham, MA 01984 and can be reached out via phone at 978-468-0005 and via fax at 978-774-9218.

Provider Profile Details

NPI Number
1043374788
Provider Name
Phyllis Brooks
Credential
LICSW LIC 1043921
Provider Entity Type
Individual
Gender
Female
Address
225 Main Street, Wenham, MA 01984
Phone Number
978-468-0005
Fax Number
978-774-9218
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 20, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
225 Main Street
Wenham, MA 01984
City
Wenham
Zip
01984
Phone Number
978-468-0005
Fax Number
978-774-9218
Wenham, MA 01984Get directions →

Provider Business Mailing Address Details

Address
Envision Health And Healing
225 Main Street
Wenham, MA 01984
City
Wenham
State
MA
Zip
01984
Phone Number
978-468-0005
Fax Number
978-774-9218

License Information

License Number
LICSW 104392-1
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Phyllis Brooks, LICSW LIC 1043921?

The NPI number of Phyllis Brooks, LICSW LIC 1043921 is 1043374788. It was assigned on December 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Phyllis Brooks, LICSW LIC 1043921?

Phyllis Brooks, LICSW LIC 1043921 is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LICSW 104392-1.

Where does Phyllis Brooks, LICSW LIC 1043921 practice?

The practice location is 225 Main Street, Wenham, MA 01984. The office can be reached at 978-468-0005 (phone) or 978-774-9218 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043374788 directly on the NPPES registry website.

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