Individual Therapy

Co-Sign Pending
Service Date: Feb 23, 2026 CPT: 90837 Duration: 55 min

Patient

Destiny Brooks

Adjustment disorder with depressed mood

Provider

Marcus Webb, LCSW

LCSW

NPI: 2345678901

Needs co-sign: Rachel Morrison, PhD, LPC-MHSP

S

Subjective

Client reports ongoing difficulty adjusting to recent breakup and job change. States 'Some days I feel okay, and then something reminds me and I just crash.' Reports crying episodes 2-3 times per week, down from daily at intake.

O

Objective

Client arrived on time. Affect tearful at times but with broader range than previous sessions. Able to identify positive moments from her week when prompted. Speech normal. No suicidal ideation.

A

Assessment

Adjustment disorder symptoms showing gradual improvement. The decrease in crying episodes from daily to 2-3 times weekly represents meaningful progress. Prognosis good.

P

Plan

Continue weekly therapy. Focus on building new social support network. Introduce values clarification exercise. Next session: 03/03/2026.

Signatures

Signed by Marcus Webb, LCSW

Feb 24, 2026, 12:10 PM

Awaiting supervisor co-signature

Billing Status

Claim ID BIL-011
Payer BlueCross BlueShield of TN
Amount Billed $150
Status Denied
0