Individual provider · Type 1 NPI

Mary Broccoli, LCSW

Clinical Social Worker · Camp Pendleton, CA

NPI number 1154306983 Active

Practice location

Naval Hospital, Camp Pendleton, Attention: Code 094
Camp Pendleton, CA 92055-5191

Call (760) 725-1555 Map

Fax (760) 725-1350

Mailing address

PO Box 555191, Attention: Code 094 Bldg H100
Camp Pendleton, CA 92055-5191

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X21113 (CA)

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 1154306983

Mary Broccoli, LCSW's National Provider Identifier is 1154306983, issued on Dec 14, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Camp Pendleton, CA. The record was last updated on Jul 13, 2026.