Individual ProviderZachary BrooksSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1675 Curlew Dr, Ammon, ID 83406-4718(208) 523-5319PECOS EnrollmentBased on the most recent information from CMS, provider Zachary Brooks does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1215631213Provider TypeIndividualFull NameBrooks, ZacharyCredentialLMSWGenderMaleSole ProprietorNoEnumeration Date3/27/2023Last Updated3/27/2023Contact InformationPractice LocationPractice Address1675 Curlew Dr, Ammon, ID 83406-4718Phone(208) 523-5319FaxUnlisted FaxMailing LocationMailing AddressPO Box 2106, Idaho Falls, ID 83403-2106Phone(208) 523-5319FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLMSW-42546Idaho