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

Brooke Herzog, LCSW

Individual provider Social Worker · NPI 1629402888

Brooke Herzog, LCSW is a Clinical Social Worker in Meridian, Idaho. Qualified in 2013, 13 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
13
Licensed in
ID
In the registry since
2013
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

520 S Eagle Rd Ste 1229
Meridian, ID 83642-6355
Phone: (208) 331-1155
Fax: (208) 383-0190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3277 E Louise Dr Ste 220, Meridian, ID 83642-9390 — (208) 514-2509
  • 925 Nw 1st St, Meridian, ID 83642 — (208) 514-2527
  • 915 Parkcentre Way, Nampa, ID 83651-1745 — (208) 442-7791

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-37178 (ID)
Social Worker Taxonomy 104100000X · Licence 33040 (ID)

Record details

NPI number1629402888
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 23, 2013
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Meridian