Individual provider · Type 1 NPI

Lisa Renee McBroom, MSW, LCSWA

Clinical Social Worker · Charlotte, NC

NPI number 1679444624 Active

Practice location

5601 Executive Center Dr Ste 200
Charlotte, NC 28212-8841

Call (704) 537-1022 Map

Fax (704) 569-0822

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP022993 (NC)

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 1679444624

Lisa Renee McBroom, MSW, LCSWA's National Provider Identifier is 1679444624, issued on Sep 15, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Sep 15, 2025.