Individual provider · Type 1 NPI

Scott Broberg, LCSW

Clinical Social Worker · Chubbuck, ID

NPI number 1063755635 Active

Practice location

265 E Chubbuck Road
Chubbuck, ID 83202

Fax (208) 237-9806

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLMSW-32675 (ID)
Clinical Social Worker Primary 1041C0700XLCSW-40120 (ID)

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 1063755635

Scott Broberg, LCSW's National Provider Identifier is 1063755635, issued on Apr 2, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chubbuck, ID. The record was last updated on Nov 3, 2020.