Provider Demographics
NPI:1417003799
Name:STOKES-BREWER, CAROLE (PHD, LISW, LPCC, LIC)
Entity Type:Individual
Prefix:DR
First Name:CAROLE
Middle Name:
Last Name:STOKES-BREWER
Suffix:
Gender:F
Credentials:PHD, LISW, LPCC, LIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 PRIMARY COLORS
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-7931
Mailing Address - Country:US
Mailing Address - Phone:513-889-0084
Mailing Address - Fax:513-889-0084
Practice Address - Street 1:6580 SOSNA DR
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-2222
Practice Address - Country:US
Practice Address - Phone:513-889-0084
Practice Address - Fax:513-889-0084
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI30141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical