Individual provider · Type 1 NPI

Nellie Catherine Broderick, LICSW

Clinical Social Worker · Newton, MA

NPI number 1902416290 Active

Practice location

77 Court St Apt 212
Newton, MA 02458-1465

Mailing address

163 Highland Ave # 1006
Needham, MA 02494-3025

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X120558 (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 1902416290

Nellie Catherine Broderick, LICSW's National Provider Identifier is 1902416290, issued on Aug 3, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newton, MA. The record was last updated on Aug 3, 2020.