Individual provider · Type 1 NPI

Katesha Shanee Broadus, LCSW, BC-TMH

Clinical Social Worker · Hampton, VA

NPI number 1598166993 Active

Practice location

110 Coliseum Crossing #5050
Hampton, VA 23666

Call (757) 785-4424 Map

Mailing address

110 Coliseum Crossing, #5050
Hampton, VA 23666-5971

Other practice locations

  • 2025 E Main St Ste 104-131, Richmond, VA 23223-7069 · (240) 447-2505

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XP009061 (NC)
Clinical Social Worker Primary 1041C0700X0904010149 (VA)

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 1598166993

Katesha Shanee Broadus, LCSW, BC-TMH's National Provider Identifier is 1598166993, issued on Sep 4, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hampton, VA. The record was last updated on Nov 27, 2023.