Individual provider · Type 1 NPI

Carol Broder

Clinical Social Worker · Revere, MA

NPI number 1790260586 Active

Practice location

108 Waite St
Revere, MA 02151-2400

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X113784-SW-LICSW (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 1790260586

Carol Broder's National Provider Identifier is 1790260586, issued on Sep 27, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Revere, MA. The record was last updated on Sep 27, 2018.