MEDICARE: SHEILA FRANCES BROOKMAN 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
1	1041C0700X	Clinical Social Worker	LCS15137	CA

General Provider Information

NPI Number	:	1326471426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA FRANCES BROOKMAN LCSW

Provider Business Mailing Address
First Line	:	818 W FLORADORA AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93728-2107
Country	:	US
Telephone Number	:	559-360-6610
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 W SHAW AVE STE 301
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3501
Country	:	US
Telephone Number	:	559-360-6610
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2013
Last Update Date	:	08/13/2013

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