Provider Demographics
NPI:1083786131
Name:CHAMBERLAND, BROOKE MARIE (MSW)
Entity Type:Individual
Prefix:MS
First Name:BROOKE
Middle Name:MARIE
Last Name:CHAMBERLAND
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 MASS AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:LUNENBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01462-1276
Mailing Address - Country:US
Mailing Address - Phone:978-835-3780
Mailing Address - Fax:978-319-4162
Practice Address - Street 1:24 MASS AVE STE 1
Practice Address - Street 2:
Practice Address - City:LUNENBURG
Practice Address - State:MA
Practice Address - Zip Code:01462
Practice Address - Country:US
Practice Address - Phone:978-835-3780
Practice Address - Fax:978-319-4162
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
MA1169061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical