THERESA A BROCKMAN LISW
NPI 1346618063
Social Worker in Lebanon, OH

Active since September 11, 2015PECOS Enrolled
1231 COLUMBUS AVE UNIT A1, LEBANON, OH 45036(513) 695-4495(513) 228-1236 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2021, Aug 18, 2021, Apr 1, 2021 and 1 more (4 updates tracked since 2020).

About Theresa A Brockman Lisw NPPES

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

THERESA A BROCKMAN LISW (NPI 1346618063) is an individual social worker in Lebanon, Ohio, licensed in Ohio (I1451226) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346618063
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameTHERESA A BROCKMANCredential: LISW
Location Address1231 COLUMBUS AVE UNIT A1Lebanon, OH 45036-8196
Mailing Address424 Wards Corner Rd Ste 200Loveland, OH 45140-6966 · (513) 576-7700 · Fax (513) 576-1020
Fax(513) 228-1236
Sole ProprietorNo
Enumeration DateSeptember 11, 2015
Last NPPES UpdateNovember 19, 20214 updates tracked since enumeration
NPPES CertifiedNovember 19, 2021
NPI 1346618063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in OH · I1451226
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1231 COLUMBUS AVE UNIT A1, Lebanon, OH 45036

Other Identifiers 1

Medicaid0165638OH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Theresa A Brockman Lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 4

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

Family Medicine
1231 COLUMBUS AVE UNIT A1
LEBANON, OH 45036
Family Medicine
1231 COLUMBUS AVE UNIT A1
LEBANON, OH 45036
Family Medicine
1231 COLUMBUS AVE UNIT A1
LEBANON, OH 45036
Nurse Practitioner
1231 COLUMBUS AVE UNIT A1
LEBANON, OH 45036

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 Theresa Brockman's NPI number?

The NPI number for Theresa Brockman is 1346618063. It was assigned to this individual provider in the NPPES registry on September 11, 2015.

Where is Theresa Brockman located?

Theresa Brockman practices at 1231 Columbus Ave Unit A1, Lebanon, OH 45036. The listed phone number is (513) 695-4495.

What is Theresa Brockman's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Theresa Brockman enrolled in Medicare?

Yes. Theresa Brockman is registered in the Medicare PECOS enrollment system.

What insurance does Theresa Brockman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 3 other insurers list Theresa Brockman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theresa Brockman was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.