MR. DOUGLAS ALAN BRINK (NPI# 1023013174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023013174 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS ALAN BRINK |
| Credential | LISW, LMFT |
| Practice Address |
202 1st St Se Suite 107 Mason City IA 50401-3946 |
| Practice Telephone | 6414233778 |
| Practice Fax Number | 6414233881 |
| Mailing Telephone | 6414233778 |
| Mailing Fax Number | 6414233881 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2013-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
05899 | IA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 0378 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0446336 | 05 | |
| IA | WELLMARK BLUE CROSS BLUE SHIELD | 72639 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730186115 | Douglas D Brink | Pharmacist | 2810 N Parham Rd, Suite 210, Richmond, VA 23294-4434 | 2005-06-30 |
| Street Address |
202 1ST ST SE SUITE 107 |
| City | MASON CITY |
| State | IA |
| Zip Code | 50401-3946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407211998 | David Larry Vallery | Hearing Instrument Specialist | 202 1st St Se, Suite 209, Mason City, IA 50401-3946 | 2015-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1548829989 | Debra Lynn Perzynski | Counselor | 103 E State St Suite 301, Brick and Tile Building, Mason City, IA 50401 | 2019-06-10 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1578055521 | Alex Jon Uhlenhopp | Optometrist | 422 S Pierce Ave Ste 1, Mason City, IA 50401 | 2018-06-05 |
| 1538672985 | Bonnie Jean Burnett | Hearing Instrument Specialist | 704 16th St. Ne, Mason City, IA 50401 | 2017-11-08 |
| 1639691009 | Jeremy Baker | Counselor | 320 N Eisenhower Avenue, Mason City, IA 50401 | 2017-07-07 |
| 1437689940 | Medi-dent, Inc. | Psychiatry & Neurology | 1050 15th St. S.w., Suite 2, Mason City, IA 50401 | 2017-06-18 |
| 1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
| 1558756999 | Tyler Borchardt | Specialist/Technologist | 640 South Indiana Avenue, Mason City, IA 50401 | 2015-04-02 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| Find all providers in zip 50401 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629687850 | Schuur Counseling & Consulting LLC | Social Worker | 679 14th St Ne, Mason City, IA 50401-2350 | 2020-07-23 |
| 1306033550 | Susan Marie Rebedeau | Social Worker | 124 N. Federal Avenue, Mason City, IA 50401-3201 | 2007-10-02 |
| 1558417782 | Mary Brigid Christianson | Social Worker | 9 2nd St Nw, Mason City, IA 50401 | 2007-01-29 |
| 1548316771 | Jean Mcaleer | Social Worker | 50 N Eisenhower Ave, Mason City, IA 50401 | 2007-01-29 |
| 1811089071 | Pamela Carlson Little | Social Worker | 125 4th St Nw, Mason City, IA 50401-3113 | 2006-09-28 |
| 1063430015 | Linda Lou Turnure | Social Worker | 112 Brook Ter, Mason City, IA 50401-1710 | 2006-07-18 |
| 1942868955 | Emily Ehlke | Social Worker | 103 E State St, Mason City, IA 50401-3300 | 2019-06-04 |
| 1376059022 | Elizabeth Jacobs | Social Worker | 80 N Eisenhower Ave, Mason City, IA 50401-7340 | 2017-12-18 |
| 1861916835 | Rae Lynne Chase | Social Worker | 320 N Eisenhower Ave, Mason City, IA 50401-1521 | 2017-08-01 |
| 1265965115 | Deborah Emarine | Social Worker | 320 N Eisenhower Ave, Mason City, IA 50401-1521 | 2017-04-07 |
| Find all providers in MASON CITY | ||||
| City | MASON CITY |
| Zip Code | 50401 |
Please comment or provide details below to improve the information on MR. DOUGLAS ALAN BRINK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.