Active NPIIndividual provider

Sophia Brockenbrough

Social Worker, Clinical in Beverly, Massachusetts

NPI Number1952859662
Practice location
800 Cummings Ctr, Suite 266T, Beverly, MA 01915-6175
Fax
978-927-3724
Last updated
September 12, 2016

Sophia Brockenbrough is a Social Worker, Clinical based in Beverly, MA. Sophia Brockenbrough practices in Beverly, MA. The NPI Number for Sophia Brockenbrough is 1952859662. The current practice location address for Sophia Brockenbrough is 800 Cummings Ctr, Suite 266T, Beverly, MA 01915-6175 and can be reached out via phone at 978-921-1190 and via fax at 978-927-3724.

Provider Profile Details

NPI Number
1952859662
Provider Name
Sophia Brockenbrough
Provider Entity Type
Individual
Gender
Female
Address
800 Cummings Ctr, Suite 266T, Beverly, MA 01915-6175
Phone Number
978-921-1190
Fax Number
978-927-3724
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 12, 2016
Last Update Date
September 12, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
800 Cummings Ctr
Suite 266T
Beverly, MA 01915-6175
Zip
01915-6175
Phone Number
978-921-1190
Fax Number
978-927-3724
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
800 Cummings Ctr
Suite 266T
Beverly, MA 01915-6175
City
Beverly
State
MA
Zip
01915-6175
Phone Number
978-921-1190
Fax Number
978-927-3724

License Information

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 Sophia Brockenbrough?

The NPI number of Sophia Brockenbrough is 1952859662. It was assigned on September 12, 2016 and is currently active in the NPPES registry.

What is the specialty of Sophia Brockenbrough?

Sophia Brockenbrough is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Sophia Brockenbrough practice?

The practice location is 800 Cummings Ctr, Suite 266T, Beverly, MA 01915-6175. The office can be reached at 978-921-1190 (phone) or 978-927-3724 (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 1952859662 directly on the NPPES registry website.

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