Individual provider · Type 1 NPI

Lisa Marie Broadhead, LCSW

Clinical Social Worker · Fort Campbell, KY

NPI number 1568617413 Active

Practice location

Blanchfield Army Community Hospital, 650 Joel Drive
Fort Campbell, KY 42223

Call (270) 798-8601 Map

Mailing address

13173 Aero Vista Dr
El Paso, TX 79908-3257

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW003927 (GA)

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 1568617413

Lisa Marie Broadhead, LCSW's National Provider Identifier is 1568617413, issued on Nov 19, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Campbell, KY. The record was last updated on Jul 2, 2018.