MRS. BROOK ELIZABETH BODENHAMER (NPI# 1205455664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205455664 |
| Entity Type | Individual |
| Full Name | MRS. BROOK ELIZABETH BODENHAMER |
| Other Name | MISS BROOK ELIZABETH SCHMIDT |
| Credential | LCSW, LCDC |
| Practice Address |
204 W Trailmoor Dr Fredericksburg TX 78624-3423 |
| Practice Telephone | 2108188819 |
| Mailing Telephone | 2108188819 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
13434 | TX | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
52375 | TX | Behavioral Health & Social Service Providers |
| Street Address |
204 W TRAILMOOR DR |
| City | FREDERICKSBURG |
| State | TX |
| Zip Code | 78624-3423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992357669 | Cynthia Hui Kim | Registered Nurse | 1020 S State, Tx-16, Fredericksburg, TX 78624 | 2019-07-12 |
| 1023515533 | Fredericksburg Eye Associates, Pllc | Ophthalmology | 755 S. Washington St., Fredericksburg, TX 78624 | 2018-04-11 |
| 1922503358 | Ave Maria Hospice of Fredericksburg, LLC | Hospice Care, Community Based | 204 S. Adams St. #a, Fredericksburg, TX 78624 | 2018-03-27 |
| 1225568546 | David Ronald Rickerhauser | Counselor | 400 Prairie View Trail, Fredericksurg, TX 78624 | 2017-06-19 |
| 1144629734 | Amy Taylor | Nurse Practitioner | 1020 Hwy 16, Fredericksburg, TX 78624 | 2014-08-19 |
| 1578836532 | James W. Harrington Jr. | Otolaryngology | 644 Red Oak Lane, Fredericksburg, TX 78624 | 2012-02-21 |
| 1366676447 | Pamela Elaine Hansen | Counselor | 607 Pesimmon Ct., Fredericksburg, TX 78624 | 2009-05-05 |
| 1457526048 | Celine Bicquart Ord | Radiology | 753 S Washington St Bldg D, Fredericksburg, TX 78624 | 2008-04-24 |
| 1669669024 | Rebecca S Prescott | Dentist | 408 N Milam St, Fredericksburg, TX 78624 | 2007-10-01 |
| 1407046626 | Charles Richard Massey Jr. | General Practice | 103 Goehmann Lane, Fredericksburg, TX 78624 | 2007-07-25 |
| Find all providers in zip 78624 | ||||
| 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 |
|---|---|---|---|---|
| 1154893147 | Danielle Christina Nieto | Social Worker | 4528 Plank Rd # A1, Fredericksburg, VA 22407-0141 | 2019-01-01 |
| 1982126280 | James Michael Royea | Social Worker | 1498 Boos Ln, Fredericksburg, TX 78624-9782 | 2017-07-09 |
| 1770936932 | Randa Kirchner | Social Worker | 2835 Cherry Mountain Loop, Fredericksburg, TX 78624-7791 | 2016-07-22 |
| 1558718759 | Michelle Anne Buhrandt | Social Worker | 300 Maden St, Fredericksburg, VA 22407-6354 | 2016-05-17 |
| 1306214051 | Elizabeth A. Soukup-taylor | Social Worker | 406 Chatham Square Office Park Ste 102, Fredericksburg, VA 22405-2585 | 2015-09-11 |
| 1982090056 | Kareemah Stepney | Social Worker | 7204 Alpha Ct, Fredericksburg, VA 22407-2559 | 2015-04-15 |
| 1710378286 | Barbara Somers Atkins | Social Worker | 10600 Limburg Ct, Fredericksburg, VA 22408-0269 | 2015-02-05 |
| 1770903379 | Joe T. Johnson, Lcsw LLC | Social Worker | 404 Chatham Sq Park, Square Office Park, Fredericksburg, VA 22405-2544 | 2014-04-22 |
| 1831516731 | Staci Blair Marzolino | Social Worker | 306 Westwood Office Park, Fredericksburg, VA 22401-5108 | 2014-03-28 |
| 1952731481 | Tanya Lynn Meline | Social Worker | 20 Pendleton Rd, Fredericksburg, VA 22405-3041 | 2013-11-19 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 78624 |
Please comment or provide details below to improve the information on MRS. BROOK ELIZABETH BODENHAMER.
| 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.