National Provider Identifier
Brooke Helen Moller, LCSW
Brooke Helen Moller, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Jamestown, NY and a listed phone number of (716) 579-5270.
Profile Overview
- NPI
- 1750674545
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- May 26, 2011
- Last Updated
- April 23, 2015
Practice Location
- 500 Pine St
- Jamestown, NY 14701-5384
Phone: (716) 579-5270
Specialties
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1750674545
- Entity Type
- Individual
- Last Name
- Moller
- First Name
- Brooke
- Middle Name
- Helen
- Name Prefix
- Mrs.
- Credential
- LCSW
- Provider Other Last Name
- Gray
- Provider Other First Name
- Brooke
- Provider Other Middle Name
- Helen
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 500 Pine St
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-5384
- Mailing Country
- US
- Mailing Phone
- (716) 579-5270
- Practice Street Address
- 500 Pine St
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-5384
- Practice Country
- US
- Practice Phone
- (716) 579-5270
- Enumeration Date
- May 26, 2011
- Last Updated
- April 23, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Social Worker (104100000X)