Mary Imani Brooks, LCSW
NPI 1346754215ActiveIndividual· Social Worker, Clinical· Peachtree City, GA
Opted out of Medicare from April 2026 to April 2028. Social Worker, Clinical (LCSW) in Peachtree City, Georgia, licensed in GA, NJ, OH and FL and other states, with an NPI issued in November 2017.
Overview
| NPI | 1346754215 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Nov 29, 2017 |
| Last updated in NPPES | Jul 22, 2020 |
| Certified by provider | Jul 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | CSW006414 | GA |
| Social Worker, Clinical | 1041C0700X | 44SC05909900 | NJ |
| Social Worker, Clinical | 1041C0700X | I.1800895-SUPV | OH |
| Social Worker, Clinical | 1041C0700X | 14189 | FL |
| Social Worker, Clinical | 1041C0700X | 7400 | TN |
| Social Worker, Clinical | 1041C0700X | 2144 | NH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Apr 1, 2026 – Apr 1, 2028 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
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