Provider Demographics
NPI:1962001107
Name:JOINER, BROOKE SMITH (MSSW)
Entity Type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:SMITH
Last Name:JOINER
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:VA
Mailing Address - Zip Code:22664-1254
Mailing Address - Country:US
Mailing Address - Phone:540-908-8585
Mailing Address - Fax:540-901-2485
Practice Address - Street 1:316 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:VA
Practice Address - Zip Code:22664-1254
Practice Address - Country:US
Practice Address - Phone:540-908-8585
Practice Address - Fax:540-901-2485
Is Sole Proprietor?:No
Enumeration Date:2020-10-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09060106511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical