CRYSTAL YVETTE BROOKS (NPI# 1649725581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649725581 |
| Entity Type | Individual |
| Full Name | CRYSTAL YVETTE BROOKS |
| Credential | LCSW |
| Practice Address |
845 Church St N Ste 203 Concord NC 28025-4374 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043165027 |
| Practice Fax Number | 7043165028 |
| Enumeration Date | 2016-08-21 |
| Last Update Date | 2018-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C011128 | NC | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
NJ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 230 E Ridgewood Ave, Bldg 14; Unit B1, Paramus, NJ 076524142 | 2019674000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992285415 | Crystal Anita Brooks | Psychologist | 223 Bridgewater Dr, Savannah, GA 31419-5537 | 2018-08-14 |
| 1225492713 | Crystal Brooks | Counselor | 250 W Somerville Ave, Philadelphia, PA 19120-3221 | 2016-04-11 |
| 1821109091 | Crystal K Brooks | Speech-Language Pathologist | 616 Indian Wells Way, Wilmington, NC 28411-9094 | 2006-08-31 |
| 1457917676 | Crystal Jill Brooks | Registered Nurse | 1 Va Ctr, Augusta, ME 04330-6719 | 2019-05-13 |
| 1508330648 | Crystal Avon Brooks | Behavioral Analyst | 466 Main St # Ll20, New Rochelle, NY 10801-6431 | 2019-01-11 |
| 1629446836 | Crystal Brooks | Community/Behavioral Health | 8928 Volunteer Ln Ste 100, Sacramento, CA 95826-3238 | 2015-09-03 |
| 1124289988 | Crystal Anne Brooks | Speech-Language Pathologist | 4600 E Shea Blvd, Suite 101, Phoenix, AZ 85028-6024 | 2008-06-24 |
| 1194894139 | Crystal Ann Brooks | Dentist | 1032 S Spring St, Port Washington, WI 53074-2455 | 2006-11-06 |
| Street Address |
845 CHURCH ST N STE 203 |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-4374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427278696 | Sumana Gadde | Psychiatry & Neurology | 845 Church St N Ste 203, Concord, NC 28025-4374 | 2007-04-27 |
| 1649785577 | Novant Medical Group, Inc | Psychiatry & Neurology | 845 Church St N Ste 203, Concord, NC 28025-4374 | 2017-12-14 |
| 1124564901 | Hillary Fahye Allan | Psychiatry & Neurology | 845 Church St N Ste 203, Concord, NC 28025-4374 | 2017-01-17 |
| 1134514987 | Madeline Proehl Toland | Counselor | 845 Church St N Ste 203, Concord, NC 28025 | 2015-03-30 |
| 1154660827 | Quanita Small | Social Worker | 845 Church St N Ste 203, Concord, NC 28025-4374 | 2013-01-31 |
| 1730450545 | Tammy F Redmond | Social Worker | 845 Church St N Ste 203, Concord, NC 28025 | 2012-01-25 |
| 1457654204 | Shannon Martin Fowler | Physician Assistant | 845 Church St N Ste 203, Concord, NC 28025-4374 | 2010-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| 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 |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1871190843 | Mary Cabarles | Social Worker | 2604 Vargas Ct, Concord, CA 94520-4630 | 2020-10-02 |
| 1619591765 | Nakalah Wilson | Social Worker | 2353 Concord Lake Rd, Concord, NC 28025-2877 | 2020-06-04 |
| 1821624511 | Cynthia G Tubbs | Social Worker | 8 Centre St # 2, Concord, NH 03301-6302 | 2020-03-13 |
| 1396370375 | Kathryn Starratt Licsw Pllc | Social Worker | 1 Tremont St Ofc 4, Concord, NH 03301-4465 | 2020-03-10 |
| 1720619703 | Stephen Patrick Hayes | Social Worker | 591 Sandringham Pl, Concord, NC 28025-3116 | 2020-01-29 |
| 1295377075 | Monica Jo Prestage | Social Worker | 4913 Hathwyck Ct Nw, Concord, NC 28027-4625 | 2019-10-12 |
| 1710529037 | Capital Valley Counseling Associates, LLC | Social Worker | 8 Centre St Ste 2, Concord, NH 03301-6302 | 2019-10-09 |
| 1497316558 | Maria Luk | Social Worker | 5503 Sun Cloud Ct, Concord, CA 94521-5012 | 2019-06-27 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| Find all providers in CONCORD | ||||
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| 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.