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NPI Code Detail

MEDICARE: JAMES DAVID BROOKES LCSW

MEDICARE:   JAMES DAVID BROOKES  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C001896OTHERNCLCSW LICENSE NUMBER

General Provider Information

NPI Number : 1275845182
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES DAVID BROOKES LCSW
Provider Business Mailing Address
First Line : 5100 BLUE SKY DR
Second Line :
City : CONNELLYS SPRINGS
State : NC
Zip : 28612-7496
Country : US
Telephone Number : 828-439-7862
Fax Number :
Provider Business Practice Location Address
First Line : 1013 WEST AVE NW
Second Line :
City : LENOIR
State : NC
Zip : 28645-5126
Country : US
Telephone Number : 828-572-1636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2010
Last Update Date : 07/08/2010

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Directions to “ JAMES DAVID BROOKES LCSW” Practice Location

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