MS. CHARLENE E BROOCK (NPI# 1790731800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790731800 |
| Entity Type | Individual |
| Full Name | MS. CHARLENE E BROOCK |
| Credential | MSW, LICSW |
| Practice Address |
1005 21st St Se Ste B Rio Rancho NM 87124-4030 |
| Practice Telephone | 7814548015 |
| Mailing Telephone | 7814548015 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2016-09-06 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C-08797 | NM | Behavioral Health & Social Service Providers |
| Street Address |
1005 21ST ST SE STE B |
| City | RIO RANCHO |
| State | NM |
| Zip Code | 87124-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215447206 | Emery Cruz | Massage Therapist | 1005 21st St Se, Rio Rancho, NM 87124-4030 | 2017-10-04 |
| 1114386877 | Gary Dowell | Massage Therapist | 1005 21st St Se, Rio Rancho, NM 87124-4030 | 2016-02-23 |
| 1720408487 | Affective Therapeutic Solutions LLC | Social Worker | 1005 21st St Se, Suite 11, Rio Rancho, NM 87124-4030 | 2014-04-21 |
| 1174822811 | Melyssa Pearl Agee-mares | Social Worker | 1005 21st St Se, Ste B, Rio Rancho, NM 87124-4030 | 2011-03-21 |
| 1699091389 | Guadalupe Psychiatric and Mental Health Services | Psychiatry & Neurology | 1005 21st St Se, Ste 7, Rio Rancho, NM 87124-4030 | 2010-04-20 |
| 1326371782 | Jamie Lynn Gonzales | Social Worker | 1005 21st St Se, Suite 11, Rio Rancho, NM 87124-4030 | 2009-09-16 |
| 1831354059 | La Buena Vida, Inc. | Clinic/Center | 1005 21st St Se, Suites 8 & 10, Rio Rancho, NM 87124-4030 | 2008-07-28 |
| 1780739060 | Star Amber Ridsdale | Specialist | 1005 21st St Se, Suite #9, Rio Rancho, NM 87124-4030 | 2007-01-24 |
| 1134299555 | Southwest Therapy & Rehabilitation | Specialist | 1005 21st St Se, Suite #9, Rio Rancho, NM 87124-4030 | 2006-11-09 |
| 1922029164 | Yvonne D Hall | Psychiatry & Neurology | 1005 21st St Se, Ste 7, Rio Rancho, NM 87124-4030 | 2006-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895648 | Dallon Knight | Pharmacist | 1115 Nm-528 Se, Rio Rancho, NM 87124 | 2020-09-09 |
| 1447875133 | Paul D Phillip | Counselor | 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 | 2020-06-09 |
| 1093341810 | Clearsky Rehabilitation Hospital of Rio Rancho LLC | Rehabilitation Hospital | 2401 Westside Blvd, Rio Rancho, NM 87124 | 2020-03-13 |
| 1841840345 | Debra English | Technician | 2001 Yucca St Se, Rio Rancho, NM 87124 | 2019-09-17 |
| 1114589322 | Counseling Connections, LLC | Counselor | 2600 Istle Rd Ne, Rio Rancho, NM 87124 | 2019-07-08 |
| 1417414996 | Kimberly Lovette Lorenzini | Counselor | Rio Rancho Family Counseling, 1340 Monterrey Rd, Rio Rancho, NM 87124 | 2019-02-21 |
| 1225507197 | Speech and Language Possibilities, LLC | Audiologist | 273 Tigris Road Ne, Rio Rancho, NM 87124 | 2018-11-20 |
| 1063997823 | Cindy Pendrey, LLC | Clinic/Center | 2103 Golf Course Rd Se, Suite A, Rio Rancho, NM 87124 | 2018-09-27 |
| 1972094324 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 | 2018-05-22 |
| 1013404581 | New Mexico Dental Clinics LLC | Dentist | 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124 | 2018-04-19 |
| Find all providers in zip 87124 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467083956 | New Mexico Wellness Center LLC | Counselor | 4111 Barbara Loop Se Ste E1, Rio Rancho, NM 87124-1068 | 2020-02-03 |
| 1811386337 | Nathan Interial | Counselor | 2441 Cabezon Blvd Se Ste A, Rio Rancho, NM 87124-1576 | 2015-01-21 |
| 1871831156 | A Better Way, LLC | Counselor | 1005 21st St. Se, Suite 10, Rio Rancho, NM 87124 | 2013-01-22 |
| 1083903520 | Megan Carlson | Counselor | 1433 Montiano Loop Se, Rio Rancho, NM 87124-8769 | 2011-04-05 |
| 1699072538 | Universal Counseling LLC | Counselor | 729 Sonora Rd Ne, Rio Rancho, NM 87144-7790 | 2011-02-11 |
| 1396964771 | James Mader | Counselor | 6236 Apache Plume Rd Ne, Rio Rancho, NM 87144-5166 | 2007-04-24 |
| 1043335003 | Maurine Jennifer Andrews | Counselor | 705 Arcturus Ave Se, Rio Rancho, NM 87124-2907 | 2007-03-20 |
| 1477693638 | Nikki Delaney | Counselor | 1515 Golf Course Rd Se, Suite 201, Rio Rancho, NM 87124-2071 | 2007-02-07 |
| 1427143775 | Lisa Kay Harvey | Counselor | 4011 Barbara Loop Se Ste 103, Rio Rancho, NM 87124-1040 | 2006-10-03 |
| 1447226030 | Antoinette Sandoval-carpenter | Counselor | 1717 Gros Ventre Dr Ne, Rio Rancho, NM 87144-7783 | 2006-02-24 |
| Find all providers in RIO RANCHO | ||||
| City | RIO RANCHO |
| Zip Code | 87124 |
Please comment or provide details below to improve the information on MS. CHARLENE E BROOCK.
| 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.