Brooke H Brody, LCSW-C, LCADC in Petaluma, CA - Medicare Clinical Social Worker Provider

Brooke H Brody, LCSW-C, LCADC is a medicare enrolled "Social Worker - Clinical" provider in Petaluma, California. He went to West Virginia University School Of Medicine and graduated in 2000 and has 26 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Lake County Tribal Health Consortium Inc and his current practice location is 621a 2nd St, Petaluma, California. You can reach out to his office (for appointments etc.) via phone at (240) 994-4926.

Brooke H Brody is licensed to practice in California (license number LCSW99030) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1245613819.

Contact Information

	Brooke H Brody, LCSW-C, LCADC
	621a 2nd St, Petaluma, CA 94952-5123
	(240) 994-4926
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brooke H Brody
Gender	Male
Speciality	Clinical Social Worker
Experience	26 Years
Location	621a 2nd St, Petaluma, California
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brooke H Brody attended and graduated from West Virginia University School Of Medicine in 2000

NPI Data:

NPI Number: 1245613819
Provider Enumeration Date: 07/01/2015
Last Update Date: 03/14/2026

Medicare PECOS Information:

PECOS PAC ID: 4486194404
Enrollment ID: I20240905001103

Medical Identifiers

Medical identifiers for Brooke H Brody such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245613819	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW99030 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lake County Tribal Health Consortium Inc	8729975545	42

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brooke H Brody allows following entities to bill medicare on his behalf.

Entity Name	Lake County Tribal Health Consortium Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881697381 PECOS PAC ID: 8729975545 Enrollment ID: O20040304000323

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brooke H Brody is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Brooke H Brody, LCSW-C, LCADC 621a 2nd St, Petaluma, CA 94952-5123 Ph: (240) 994-4926	Brooke H Brody, LCSW-C, LCADC 621a 2nd St, Petaluma, CA 94952-5123 Ph: (240) 994-4926

Reviews and Comments

Social Worker in Petaluma, CA

Ms. Judy B Iwanier, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5 Keller St, # 2, Petaluma, CA 94952 Phone: 310-423-0736
Lorena Yanez-ramirez, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500
Mayra Gonzalez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7620
Mr. Robert O Butler, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 40 4th St Ste 224, Petaluma, CA 94952 Phone: 707-241-3003
Robin Kobrin Aquino, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1668 San Marino Dr, Petaluma, CA 94954 Phone: 209-601-6964
Rebecca A Stanwyck, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Po Box 2511, Petaluma, CA 94953 Phone: 510-881-2540
Marilyn Lee Jaffe, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 508 West St, Petaluma, CA 94952 Phone: 707-318-3912

Brooke H Brody, LCSW-C, LCADC - Medicare Clinical Social Worker in Petaluma, CA