Individual provider · Type 1 NPI

Emily Nicole Broad, LISW-S

Clinical Social Worker · Moraine, OH

NPI number 1043725971 Active

Practice location

3095 Kettering Blvd
Moraine, OH 45439-1983

Call (937) 293-8300 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI.2103012-SUPV (OH)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1043725971

Emily Nicole Broad, LISW-S's National Provider Identifier is 1043725971, issued on Dec 14, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Moraine, OH. The record was last updated on Feb 23, 2026.