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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY BROCCOLI, LCSW

Active

MARY BROCCOLI, LCSW is a Clinical Social Worker healthcare provider located in CAMP PENDLETON, California. NPI 1154306983 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CAMP PENDLETON, CA

Registration Details

NPI Number
1154306983
Provider Type
Individual
Gender
Female
NPI Issued
Dec 14, 2005 (20.484830205176 yrs)
Last Updated
Jul 8, 2007
License
21113 (CA)

Practice Information

Address
NAVAL HOSPITAL, CAMP PENDLETON
ATTENTION: CODE 094
CAMP PENDLETON, CA, 920555191
Browse CA providers · Browse ZIP 92055
Phone
7607251555
Fax
7607251350
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in CAMP PENDLETON, CA

Name Credential NPI
MR. STEVEN WAYNE CAPPIELLO MSW, LCSW 1386636819
MARSHA ANN RASTLE LCSW 1518958156
LISA C WHITNEY LCSW 1124088935
MS. INGRID H WEIBUST LICSW 1134272073
GWENDOLYN KELLER LCSW 1730225137
VALERY KRUPNIK LCSW 1104959014
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.