SUSAN LYNN BROOKS (NPI# 1366578353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366578353 |
| Entity Type | Individual |
| Full Name | SUSAN LYNN BROOKS |
| Credential | M.DIV. |
| Practice Address |
403 South Hawthorne Road Winston-salem NC 27157-1097 |
| Mailing Address |
Po Box 571097 Winston-salem NC 27157-1097 |
| Practice Telephone | 3367160863 |
| Practice Fax Number | 3367160822 |
| Mailing Telephone | 3367160863 |
| Mailing Fax Number | 3367160822 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2321 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDCOST | C9480 | 01 |
| NC | BCBS | 130X1 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437708104 | Susan Brooks | Case Manager/Care Coordinator | 144 Karen Dr, Macon, GA 31217-6542 | 2019-09-05 |
| 1982077848 | Susan Brooks | Physical Therapist | 410 Meadow Creek Dr Ste 106, Westminster, MD 21158-9446 | 2015-11-01 |
| 1376709659 | Susan D. Brooks | Speech-Language Pathologist | 193 West Bare Hill Rd, Harvard, MA 01451-1627 | 2008-08-05 |
| 1043492432 | Susan Rene Brooks | Acupuncturist | 7413 Old Bee Caves Rd, Austin, TX 78735-8234 | 2007-11-28 |
| 1659563518 | Susan Brooks | Massage Therapist | 8010 Beulah Rd, Pensacola, FL 32526-4237 | 2007-08-15 |
| 1497883722 | Susan O Brooks | Nurse Practitioner | 5226 Nashville Hwy., Chapel Hill, TN 37034-2067 | 2007-02-28 |
| 1346393303 | Susan Rogers Brooks | Dentist | 3440 Conway Blvd Ste 2a, Port Charlotte, FL 33952-7050 | 2007-01-20 |
| 1386659704 | Susan Whitmore Brooks | Social Worker | 2024 New Hope Rd, Charlotte, NC 28203-6064 | 2006-07-31 |
| 1700870490 | Susan C Brooks | Counselor | 112 N Circle Dr, Rocky Mount, NC 27804-2430 | 2005-09-08 |
| 1598270506 | Susan Bernice Brooks | Registered Nurse | 918 Ulster Ave, Kingston, NY 12401-1344 | 2017-12-13 |
| Street Address |
403 SOUTH HAWTHORNE ROAD |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27157-1097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831292630 | Adrienne Reich | Counselor | 403 South Hawthorne Road, Winston-salem, NC 27157-1097 | 2006-09-07 |
| 1902068869 | Anthony Jesus Pitaluga | Counselor | 403 South Hawthorne Road, Winston-salem, NC 27157-1097 | 2008-07-01 |
| 1366645079 | Cecilia M Marshall | Psychologist | 403 South Hawthorne Road, Winston-salem, NC 27157-1097 | 2007-06-08 |
| 1396870218 | Sam Templeman Gladding | Counselor | 403 South Hawthorne Road, Winston-salem, NC 27157-1097 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960241 | Alexandra Marie Balmaceda | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 | 2020-04-02 |
| 1164916680 | Jorie Elizabeth Gatts | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 | 2018-06-18 |
| 1932606555 | Alexi Rae Ellington Webb | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-04-10 |
| 1851896674 | Wasim Muhammad | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-03-25 |
| 1336643535 | Phillip Martin Kostelic | Student in an Organized Health Care Education/Training Program | Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 | 2018-03-21 |
| 1831693324 | Aleah Bond | Student in an Organized Health Care Education/Training Program | Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 | 2018-03-20 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1023467529 | Edward John Doyle IIi | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 | 2016-06-07 |
| 1477917888 | Jordan Mae Burner | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 | 2016-04-12 |
| 1174900476 | Kate Elise Winterbottom | Speech-Language Pathologist | 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 | 2015-05-06 |
| Find all providers in zip 27157 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255864187 | Haylee Mcfarland | Counselor | 3640 Wesgate Center Circle, Suite A, Winston-salem, NC 27103 | 2017-04-07 |
| 1750403853 | Richard Theodore Maas | Counselor | 3821 Forrestgate Drive, Winston-salem, NC 27103 | 2007-04-06 |
| 1063548956 | Laurel Marlene Link | Counselor | 4400 Silas Creek Parkway, Suite 101, Winston-salem, NC 27104-3823 | 2007-02-26 |
| 1831292630 | Adrienne Reich | Counselor | 403 South Hawthorne Road, Winston-salem, NC 27157-1097 | 2006-09-07 |
| 1811947856 | John Palmer Anderson | Counselor | 640 Holly Ave, Winston-salem, NC 27101-2716 | 2006-05-11 |
| 1487921474 | Catherine Madec | Counselor | 725 N Highland Ave, 2nd Floor, Winston-salem, NC 27101-4206 | 2011-11-19 |
| 1568599702 | William Ronald Wachs | Counselor | 403 South Hawthorne Rd, Winston-salem, NC 27157-1097 | 2007-02-27 |
| 1396870218 | Sam Templeman Gladding | Counselor | 403 South Hawthorne Road, Winston-salem, NC 27157-1097 | 2007-02-22 |
| 1972547941 | Max Marie Mcintosh | Counselor | 2910 Briarcliff Rd, Suite B, Winston-salem, NC 27106-3077 | 2006-06-16 |
| 1982653168 | New Ideas In Training & Development | Counselor | 4142 Robinhood Rd, Winston-salem, NC 27106-4739 | 2006-05-08 |
| Find all providers in WINSTON-SALEM | ||||
| City | WINSTON-SALEM |
| Zip Code | 27157 |
Please comment or provide details below to improve the information on SUSAN LYNN BROOKS.
| 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.