Provider Demographics
NPI:1568631141
Name:SPROWL, BROOKE LINDSAY (MSW, ASW)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:LINDSAY
Last Name:SPROWL
Suffix:
Gender:F
Credentials:MSW, ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6851 LENNOX AVE
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-4073
Mailing Address - Country:US
Mailing Address - Phone:818-739-5421
Mailing Address - Fax:
Practice Address - Street 1:6851 LENNOX AVE
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-4073
Practice Address - Country:US
Practice Address - Phone:818-739-5421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical