Brooke H Brody, LCSW-C, LCADC is a
Social Worker - Clinical based in Petaluma, California. Brooke H Brody is licensed to practice in California (license number LCSW99030) and his current practice location is
621a 2nd St, Petaluma, California. He can be reached at his office (for appointments etc.) via phone at
(240) 994-4926.
NPI number for Brooke H Brody is 1245613819 and his current mailing address is 621a 2nd St, Petaluma, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245613819.
Healthcare Provider's Profile
| Full Name | Brooke H Brody |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 621a 2nd St, Petaluma, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245613819
- Provider Enumeration Date: 07/01/2015
- Last Update Date: 05/05/2021
Medical Identifiers
Medical identifiers for Brooke H Brody such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245613819 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCA400 (Maryland) | Secondary |
| 1041C0700X | Social Worker - Clinical | 12360 (Maryland) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW99030 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brooke H Brody is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brooke H Brody, LCSW-C, LCADC
621a 2nd St,
Petaluma, CA 94952-5123
Ph: (240) 994-4926 | Brooke H Brody, LCSW-C, LCADC
621a 2nd St,
Petaluma, CA 94952-5123
Ph: (240) 994-4926 |
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