MR. DOUGLAS ALAN BRINK LISW LMFT NPI 1023013174

NPI Information

  • NPI: 1023013174
  • Provider Name: MR. DOUGLAS ALAN BRINK, LISW, LMFT
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 202 1ST ST SE
    SUITE 107
    MASON CITY, IA
    ZIP 50401
  • Phone: (641) 423-3778

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NPI Details

MR. Douglas Alan Brink, LISW, LMFT is a clinical social worker in Mason City, IA with 47 years of experience. 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. MR. Douglas Alan Brink, LISW, LMFT NPI is 1023013174. 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:

202 1ST ST SE
SUITE 107
MASON CITY, IA
ZIP 50401-946
Phone: (641) 423-3778
Fax: (641) 423-3881

The NPI 1023013174 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/16/2005 and was last updated on 8/12/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106H00000XMarriage & Family Therapist0378MINNESOTANo
21041C0700XSocial WorkerClinical05899IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1IB1125MEDICARE PINIOWA
20446336MEDICAIDIOWA
372639OTHERIOWAWELLMARK BLUE CROSS BLUE SHIELD

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: 11/21/2025

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