Individual provider · Type 1 NPI

Keisha Lynne Broyles, LCSW-C

Clinical Social Worker · Halethorpe, MD

NPI number 1689806929 Active

Practice location

5626 Southwestern Blvd Ste C
Halethorpe, MD 21227-3921

Fax (443) 327-4751

Other practice locations

  • 1300 Mercantile Ln Ste 129-53, Largo, MD 20774-5327 · (443) 267-7775

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X14585 (MD)

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 1689806929

Keisha Lynne Broyles, LCSW-C's National Provider Identifier is 1689806929, issued on Aug 20, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Halethorpe, MD. The record was last updated on Aug 16, 2023.