Individual provider · Type 1 NPI
Susan Bernice Broderick, LCSW
Clinical Social Worker · St. Charles, IL
Practice location
40W222 Lafox Rd Ste P2B
St. Charles, IL 60175-7625
Mailing address
11925 Ellwood Greens Rd
Genoa, IL 60135-8142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149012332 (IL) |
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 1073002556
Susan Bernice Broderick, LCSW's National Provider Identifier is 1073002556, issued on May 9, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Charles, IL. The record was last updated on May 9, 2018.