Provider Demographics
NPI:1396114757
Name:BROOKS, DANA (LICSW, LCSW-C)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:BROOKS
Suffix:
Gender:F
Credentials:LICSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 K STREET, 2ND FLOOR
Mailing Address - Street 2:MENTAL HEALTH SERVICES DIVISION
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002
Mailing Address - Country:US
Mailing Address - Phone:202-442-4873
Mailing Address - Fax:202-727-0857
Practice Address - Street 1:35 K STREET, 2ND FLOOR
Practice Address - Street 2:MENTAL HEALTH SERVICES DIVISION
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002
Practice Address - Country:US
Practice Address - Phone:202-442-4873
Practice Address - Fax:202-727-0857
Is Sole Proprietor?:No
Enumeration Date:2015-09-16
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500786421041C0700X
MD137491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical