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BROOKE H BRODY LCSW-C LCADC NPI 1245613819


NPI Information

NPI: 1245613819
Provider Name: BROOKE H BRODY, LCSW-C, LCADC
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
621A 2ND ST
PETALUMA, CA
ZIP 94952
Phone: (240) 994-4926
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Brooke H Brody, LCSW-C, LCADC is a clinical social worker in Petaluma, CA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Brooke H Brody, LCSW-C, LCADC NPI is 1245613819. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

621A 2ND ST
PETALUMA, CA
ZIP 94952-123
Phone: (240) 994-4926

The enumeration date for this NPI number is 7/1/2015 and was last updated on 5/5/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)LCA400MARYLANDNo
21041C0700XSocial WorkerClinical12360MARYLANDNo
31041C0700XSocial WorkerClinicalLCSW99030CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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