MRS. KIMBERLY RENEE MCCUTCHEN BROOKS (LCSW) – Clinical Social Worker, NPI 1063927291

MRS. KIMBERLY RENEE MCCUTCHEN BROOKS (LCSW) is a healthcare provider. based in Murphysboro, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149019960 (IL). The NPI Number for MRS. KIMBERLY RENEE MCCUTCHEN BROOKS (LCSW) is 1063927291

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLY RENEE MCCUTCHEN BROOKS (LCSW)
NPI
1063927291
Phone
(618) 203-8008
Address
247 BRENNING RD
Enumeration Date
11 December 2017
Last Update Date
11 December 2017

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8662800260
Graduation Year
2005 (21 years ago)
PAC ID
2961760764
Group Practice PAC ID
9537534177
Professional Enrollment ID
I20220624001177
Address ID
CA950541846SA4633XDRXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for MRS. KIMBERLY RENEE MCCUTCHEN BROOKS (LCSW)

  • 247 BRENNING RD

    MURPHYSBORO, IL 629665558

    Phone: (618) 203-8008

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220623002254IClinical Social WorkerILTBD
I20220624001177IClinical Social WorkerCATBD
I20240819002821IClinical Social WorkerWATBD
I20240828002930IClinical Social WorkerTXTBD
I20250414002059IClinical Social WorkerUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62966)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537534177View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Clinical Social WorkerCA
Clinical Social WorkerCA
Clinical Social WorkerCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Clinical Social WorkerCA
Clinical Social WorkerCA
Clinical Social WorkerCA
Clinical PsychologistCA

Reviews

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Frequently asked questions

What is the registry number for MRS. KIMBERLY RENEE MCCUTCHEN BROOKS (LCSW)?
The registry entry for MRS. KIMBERLY RENEE MCCUTCHEN BROOKS (LCSW) shows NPI 1063927291.
Should I treat MRS. KIMBERLY RENEE MCCUTCHEN BROOKS (LCSW) as an active provider?
Patients and plans typically see MRS. KIMBERLY RENEE MCCUTCHEN BROOKS (LCSW) as active in the national extract.
What services align with MRS. KIMBERLY RENEE MCCUTCHEN BROOKS (LCSW)'s listing?
MRS. KIMBERLY RENEE MCCUTCHEN BROOKS (LCSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Can patients visit MRS. KIMBERLY RENEE MCCUTCHEN BROOKS (LCSW) in Murphysboro, Illinois?
For routing, start with Murphysboro, Illinois for MRS. KIMBERLY RENEE MCCUTCHEN BROOKS (LCSW), then verify phone and hours locally.
Can I export MRS. KIMBERLY RENEE MCCUTCHEN BROOKS (LCSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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