Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brooke H Brody, LCSW-C, LCADC

Individual provider Clinical Social Worker · NPI 1245613819

Brooke H Brody, LCSW-C, LCADC is a Clinical Social Worker in Petaluma, California. Graduated from West Virginia University School of Medicine in 2000, 26 years ago. Practices with Lake County Tribal Health Consortium Inc, a 42-clinician group. Licensed in California.

Years since qualifying
26
Trained at
West Virginia University School of Medicine
Licensed in
CA
In the registry since
2015
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Practice location Address checks out

621A 2nd St
Petaluma, CA 94952-5123
Phone: (240) 994-4926
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW99030 (CA)

Record details

NPI number1245613819
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-C , LCADC
Sole proprietorYes
NPI enumeratedJuly 1, 2015
Last updated in NPPESMarch 14, 2026
Certification dateMarch 14, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Lake County Tribal Health Consortium Inc — 42 clinicians
Accepts Medicare assignment Not indicated

Other providers in Petaluma