Individual provider · Type 1 NPI

Kelly Anne Broderick, LICSW

Clinical Social Worker · Lynn, MA

NPI number 1407193758 Active

Practice location

152 Lynnway Ste 2C
Lynn, MA 01902-3420

Call (617) 982-3996 Map

Mailing address

811 Polo Rd Apt 235
Columbia, SC 29223-4425

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700X122657 (MA)

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 1407193758

Kelly Anne Broderick, LICSW's National Provider Identifier is 1407193758, issued on Jan 7, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lynn, MA. The record was last updated on May 28, 2020.