Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY ANNE BRODERICK, LICSW
Active Sole ProprietorKELLY ANNE BRODERICK, LICSW is a Clinical Social Worker healthcare provider located in LYNN, Massachusetts. NPI 1407193758 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · LYNN, MA
Registration Details
- NPI Number
- 1407193758
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 7, 2013 (13.574288796847 yrs)
- Last Updated
- May 28, 2020
- License
-
122657 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
152 LYNNWAY STE 2CLYNN, MA, 019023420Browse MA providers · Browse ZIP 01902
- Phone
- 6179823996
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in LYNN, MA
| Name | Credential | NPI |
|---|---|---|
| KERI MCCONAGHY | LICSW | 1881683209 |
| ELIZABETH HUNTOON | LICSW | 1467439562 |
| DANIEL H OWEN | LICSW | 1619907680 |
| MRS. ALYSSA E KEEGAN | LICSW | 1972525830 |
| ANN M CARROLL | M.S.W. | 1336156652 |
| MRS. KARA MARIE BEAUSOLEIL | LICSW | 1164435905 |
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.