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

TINA MARIE BROADSWORD, LMSW

Active Sole Proprietor

TINA MARIE BROADSWORD, LMSW is a Clinical Social Worker healthcare provider located in RATHDRUM, Idaho. NPI 1730714247 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · RATHDRUM, ID

Registration Details

NPI Number
1730714247
Provider Type
Individual
Gender
Female
NPI Issued
Mar 4, 2020 (6.4079930236116 yrs)
Last Updated
Dec 14, 2020
Licenses
LMSW37001 (ID)
LMSW37001 (ID)
Sole Proprietor
Yes

Practice Information

Address
14950 N COEUR DALENE ST
RATHDRUM, ID, 838586484
Browse ID providers · Browse ZIP 83858
Phone
2086870538
Fax
2086873185
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in RATHDRUM, ID

Name Credential NPI
JANICE LOUISE ROBINSON LCSW 1699101915
LYNN RUSSELL LCSW, ACSW, QP, CS 1427458579
SONJA ENGER 1770957938
SONYA DEE WILLIAMS MSW, LICSW, LCSW 1205378205
DAVID ALVERSON LCSW 1265979199
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.