Provider Demographics
NPI:1366618803
Name:BROOKER, ELIZABETH NORRINE BAILEY (LCSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:NORRINE BAILEY
Last Name:BROOKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:NORRINE
Other - Last Name:NEWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:153 PARK ROW
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011
Mailing Address - Country:US
Mailing Address - Phone:207-504-3587
Mailing Address - Fax:207-626-7586
Practice Address - Street 1:153 PARK ROW
Practice Address - Street 2:SUITE 103
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011
Practice Address - Country:US
Practice Address - Phone:207-504-3587
Practice Address - Fax:207-626-7586
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker