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

Tammy Brooklyn Brock

Individual provider Clinical Social Worker · NPI 1063353639

Tammy Brooklyn Brock is a Clinical Social Worker in Corbin, Kentucky. Qualified in 2022, 4 years ago. Licensed in Kentucky.

Years since qualifying
4
Licensed in
KY
In the registry since
2026

Practice location Address checks out

1 Trillium Way
Corbin, KY 40701-8426
Phone: (606) 528-1212
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW00001231 (KY)

Record details

NPI number1063353639
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 6, 2026
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing address720 Bryant St Apt 1, Corbin, KY 40701-1008

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Corbin