Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLARA SUSANNE BRODERICK, SSW
ActiveSocial Worker · PROVO, UT
Registration Details
- NPI Number
- 1720199540
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2006 (19.674177439149 yrs)
- Last Updated
- Jul 8, 2007
- License
-
5337611 3503 (UT)
Practice Information
- Address
-
750 NORTH 200 WESTPROVO, UT, 84601Browse UT providers · Browse ZIP 84601
- Phone
- 8013734760
- Fax
- 8013730639
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| STACI LYNN OAKES | SSW | 1194832071 |
| KYLE LOUIS COOK | SSW | 1093824609 |
| CARI ANN GREENWOOD | SSW | 1174631162 |
| MELODY ANN CHADSEY | BA SSW | 1710095609 |
| MARIA JINNETTE WINDEN | SSW | 1881704021 |
| ALESA VAN DYKE | SSW | 1689784829 |
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.