Healthcare Provider Details

I. General information

NPI: 1316446354
Provider Name (Legal Business Name): LASHAUNIA DANIELLE BROOKS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2018
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 SE 1ST AVE STE 200
OCALA FL
34471-2161
US

IV. Provider business mailing address

217 SE 1ST AVE STE 200
OCALA FL
34471-2161
US

V. Phone/Fax

Practice location:
  • Phone: 352-286-3118
  • Fax: 352-290-4160
Mailing address:
  • Phone: 352-286-3118
  • Fax: 352-290-4160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801121439
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW16901
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: