Organization
BROOKE BRODY LICENSED CLINICAL SOCIAL WORKER, PC
Active
Other names
DBA Pacific Pathways
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BROOKE H BRODY LCSW (OWNER)
(240) 994-4926
Entity
Organization
Contact information
Practice address
621A 2ND ST, PETALUMA, CA 94952
(707) 708-3090
Mailing address
621A 2ND ST, PETALUMA, CA 94952
(240) 994-4926
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
06/01/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up