Provider Demographics
NPI:1841838968
Name:BRINKSNEADER, BROOKE NICOLE (LCSW)
Entity type:Individual
Prefix:MS
First Name:BROOKE
Middle Name:NICOLE
Last Name:BRINKSNEADER
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 1:811 CORPORATE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-5409
Mailing Address - Country:US
Mailing Address - Phone:859-279-1955
Mailing Address - Fax:
Practice Address - Street 1:811 CORPORATE DR STE 200
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-5409
Practice Address - Country:US
Practice Address - Phone:859-279-1955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-19
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2528111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical