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BROOKE H BRODY LCSW-C, LCADC
NPI 1245613819
Social Worker - Clinical in Petaluma, CA

Active since July 01, 2015PECOS Enrolled
621A 2ND ST, PETALUMA, CA 94952(240) 994-4926 Get Directions Write a Review

NPPES record last updated: March 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 14, 2026, May 5, 2021 (2 updates tracked since 2021).

About Brooke H Brody Lcsw-c, Lcadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKE H BRODY LCSW-C, LCADC (NPI 1245613819) is an individual clinical provider in Petaluma, California, licensed in California (LCSW99030) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (2000).

NPPES Registry Identity

NPI1245613819
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBROOKE H BRODYCredential: LCSW-C, LCADC
Location Address621A 2ND STPetaluma, CA 94952-5123
Mailing Address621a 2nd StPetaluma, CA 94952-5123 · (240) 994-4926
Phone(240) 994-4926
Sole ProprietorYes
Medical School CMSWest Virginia University School Of MedicineGraduated 2000
Enumeration DateJuly 1, 2015
Last NPPES UpdateMarch 14, 20262 updates tracked since enumeration
NPPES CertifiedMarch 14, 2026
✔ NPI 1245613819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW99030
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
621A 2ND ST, Petaluma, CA 94952
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooke H Brody Lcsw-c, Lcadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486194404
PECOS Enrollment IDI20240905001103
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94952 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.04 – $187.01
Typical copayment $0.00 (range $15.76 – $46.75)
Most-billed visit code NA
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILLIAN MARIE JANISEN ASW
Social Worker
621A 2ND ST
PETALUMA, CA 94952
Sonoma County (707) 708-3090
BROOKE BRODY LICENSED CLINICAL SOCIAL WORKER, PC
Community Based Residential Treatment Facility, Mental Illness
621A 2ND ST
PETALUMA, CA 94952
Sonoma County (707) 708-3090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brooke Brody's NPI number?

The NPI number for Brooke Brody is 1245613819. It was assigned to this individual provider in the NPPES registry on July 1, 2015.

Where is Brooke Brody located?

Brooke Brody practices at 621A 2nd St, Petaluma, CA 94952. The listed phone number is (240) 994-4926.

What is Brooke Brody's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Brooke Brody enrolled in Medicare?

Yes. Brooke Brody is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brooke Brody was last updated on March 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.