Provider Demographics
NPI:1184935371
Name:WESTBROOK, VERA (LCSW)
Entity type:Individual
Prefix:
First Name:VERA
Middle Name:
Last Name:WESTBROOK
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 1:1501 SAN PEDRO DR SE BLDG 96
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87108-5154
Mailing Address - Country:US
Mailing Address - Phone:505-265-1711
Mailing Address - Fax:505-222-3654
Practice Address - Street 1:1501 SAN PEDRO SE BLDG. #96
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-5154
Practice Address - Country:US
Practice Address - Phone:505-265-1711
Practice Address - Fax:505-222-3654
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMSWB-2023-04091041C0700X
NMM-11458104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical