Provider Demographics
NPI:1922213347
Name:BROOKS, DENNIS (MSW)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:
Last Name:BROOKS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 S EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-5116
Mailing Address - Country:US
Mailing Address - Phone:908-233-7333
Mailing Address - Fax:908-845-0268
Practice Address - Street 1:127 S EUCLID AVE
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-5116
Practice Address - Country:US
Practice Address - Phone:908-233-7333
Practice Address - Fax:908-845-0268
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC007632001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ819859Medicare ID - Type Unspecified
0007403159Medicare UPIN