Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER BROADDUS, LCSW-C
Active Sole ProprietorJENNIFER BROADDUS, LCSW-C is a Clinical Social Worker healthcare provider located in MARRIOTTSVILLE, Maryland. NPI 1982211991 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MARRIOTTSVILLE, MD
Registration Details
- NPI Number
- 1982211991
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 24, 2020 (5.7084961874974 yrs)
- Last Updated
- Sep 24, 2020
- License
-
0583C (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11376 BARLEY FIELD WAYMARRIOTTSVILLE, MD, 211041339Browse MD providers · Browse ZIP 21104
- Phone
- 4434725791
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in MARRIOTTSVILLE, MD
| Name | Credential | NPI |
|---|---|---|
| LINDA SORACE CRITES | CSW | 1982733523 |
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.