Herzog, Brooke

Herzog, Brooke is an individual health care provider with primary practice located at 520 S Eagle Rd Ste 1229 , Meridian ID 83642-6355. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Herzog, Brooke can be contacted via phone (208) 331-1155.

Contact Information

Primary practice address
520 S Eagle Rd Ste 1229 Meridian ID 83642-6355
Phone: (208) 331-1155
Fax: (208) 383-0190
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 33040 Idaho
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-37178 Idaho

Profile Details

NPI number 1629402888
LBN Legal business name Herzog, Brooke
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2013
Last updated May 23rd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629402888 NPPES
Idaho MEDICAID 1629402888

Popular Providers