Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brooke Brockman

Individual provider Clinical Social Worker · NPI 1730071861

Brooke Brockman is a Clinical Social Worker in West Bend, Wisconsin. Qualified in 2023, 3 years ago. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2025

Practice location Address checks out

111 E Washington St
West Bend, WI 53095-2571
Phone: (262) 338-2717
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X (WI)

Record details

NPI number1730071861
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2025
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address655 Village Green Way Unit 411, West Bend, WI 53090-2584

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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