BROOKE LINDSAY RIDENBARK MSWLSW NPI 1023682838

NPI Information

  • NPI: 1023682838
  • Provider Name: BROOKE LINDSAY RIDENBARK, MSW,LSW
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • Address: 2615 EDWARDS ST
    ALTON, IL
    ZIP 62002
  • Phone: (618) 462-2331

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NPI Details

Brooke Lindsay Ridenbark, MSW,LSW is a social worker in Alton, IL. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Brooke Lindsay Ridenbark, MSW,LSW NPI is 1023682838. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2615 EDWARDS ST
ALTON, IL
ZIP 62002-915
Phone: (618) 462-2331
Fax: (618) 462-7160

The enumeration date for this NPI number is 5/17/2021 and was last updated on 11/12/2024.

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
1101Y00000XCounselorNo
2104100000XSocial Worker150.110359ILLINOISYes

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
115861675OTHERILLINOISCAQH ID

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: 3/30/2025

NPI Synchronization or Removal

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