Robert Jay Brooke, MSW | |
310 E Olive St, Lamar, CO 81052-2841 | |
(719) 931-9844 | |
(719) 931-8007 |
Full Name | Robert Jay Brooke |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 310 E Olive St, Lamar, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669806774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW.00979013 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | CSW00979013 (Colorado) | Primary |
Entity Name | Valley-wide Health Systems, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790998953 PECOS PAC ID: 5991609067 Enrollment ID: O20031120000673 |
Entity Name | Wayne Hudson Do Integrated Medical Practice Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093449415 PECOS PAC ID: 8921476227 Enrollment ID: O20221117000786 |
Mailing Address | Practice Location Address |
---|---|
Robert Jay Brooke, MSW 310 E Olive St, Lamar, CO 81052-2841 Ph: (719) 931-9844 | Robert Jay Brooke, MSW 310 E Olive St, Lamar, CO 81052-2841 Ph: (719) 931-9844 |
Amber Settles, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 Kendall Dr, Lamar, CO 81052 Phone: 719-336-0261 Fax: 719-336-0265 | |
Dr. Phaetra Kafunya Raney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 313 S 5th St Ste 7, Lamar, CO 81052 Phone: 281-665-7346 | |
Sharon K Headrick, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 200 Kendall Dr, Lamar, CO 81052 Phone: 719-336-0261 Fax: 719-336-0265 |