Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM BROADNAX, LISW
ActiveKIM BROADNAX, LISW is a Clinical Social Worker healthcare provider located in BROOKLYN HTS, Ohio. NPI 1417411018 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BROOKLYN HTS, OH
Registration Details
- NPI Number
- 1417411018
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 28, 2019 (7.5236002820872 yrs)
- Last Updated
- Jan 28, 2019
- License
-
I.0005832 (OH)
Practice Information
- Address
-
925 KEYNOTE CIR STE 300BROOKLYN HTS, OH, 441311869Browse OH providers · Browse ZIP 44131
- Phone
- 2169311400
- Primary Specialty
-
Clinical Social Worker
1041C0700X
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.