Provider Demographics
NPI:1689488140
Name:MEEK, BROOKS KENNETH (LCSW)
Entity type:Individual
Prefix:
First Name:BROOKS
Middle Name:KENNETH
Last Name:MEEK
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 LINDBERGH BLVD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-4532
Mailing Address - Country:US
Mailing Address - Phone:551-204-5410
Mailing Address - Fax:
Practice Address - Street 1:155 LINDBERGH BLVD
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-4532
Practice Address - Country:US
Practice Address - Phone:551-204-5410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW242261041C0700X
NJ44SC064473001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical