Provider Demographics
NPI:1760521652
Name:BROOKS-JAMES, DENETRIA DENISE (LCSW)
Entity Type:Individual
Prefix:DR
First Name:DENETRIA
Middle Name:DENISE
Last Name:BROOKS-JAMES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7027 FM 78 APT 6103
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78244-1399
Mailing Address - Country:US
Mailing Address - Phone:210-596-2089
Mailing Address - Fax:
Practice Address - Street 1:4211 GARDENDALE ST STE A104
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3180
Practice Address - Country:US
Practice Address - Phone:210-369-9950
Practice Address - Fax:210-783-8897
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104521101Y00000X
1041C0700X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical