Individual provider · Type 1 NPI

Penny Jo Broadway

Clinical Social Worker · Palmdale, CA

NPI number 1922201797 Active

Practice location

1529 E Palmdale Blvd, Suite 210
Palmdale, CA 93550-2034

Mailing address

45351 11th St W
Lancaster, CA 93534-1706

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1922201797

Penny Jo Broadway's National Provider Identifier is 1922201797, issued on Jun 7, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Palmdale, CA. The record was last updated on Dec 30, 2007.