Carol Broder
Social Worker, Clinical in Revere, Massachusetts
1790260586- Practice location
- 108 Waite St, Revere, MA 02151-2400
- Phone
- 781-286-5090
- Fax
- —
- Last updated
- September 27, 2018
Carol Broder is a Social Worker, Clinical based in Revere, MA. Carol Broder practices in Revere, MA. The NPI Number for Carol Broder is 1790260586 and holds a License No. 113784-SW-LICSW (MA). The current practice location address for Carol Broder is 108 Waite St, Revere, MA 02151-2400 and can be reached out via phone at 781-286-5090.
Provider Profile Details
- NPI Number
- 1790260586
- Provider Name
- Carol Broder
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 108 Waite St, Revere, MA 02151-2400
- Phone Number
- 781-286-5090
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 27, 2018
- Last Update Date
- September 27, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 108 Waite St
Revere, MA 02151-2400 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-2400
- Phone Number
- 781-286-5090
Provider Business Mailing Address Details
- Address
- 108 Waite St
Revere, MA 02151-2400 - City
- Revere
- State
- MA
- Zip
- 02151-2400
License Information
- License Number
- 113784-SW-LICSW
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Revere, MA
View all Social Worker, Clinical providers in Revere →- Bounthay PhathSocial Worker, Clinical · NPI 1346387750
- Caroline Marchetta CampbellSocial Worker, Clinical · NPI 1437606365
- Daniela MiraSocial Worker, Clinical · NPI 1114849700
- Dr. Polly W GrantSocial Worker, Clinical · NPI 1538286919
- Eglantina Malaj, LICSWSocial Worker, Clinical · NPI 1225738321
- Eliza SpeidelSocial Worker, Clinical · NPI 1730099144
Frequently Asked Questions
What is the NPI number of Carol Broder?
The NPI number of Carol Broder is 1790260586. It was assigned on September 27, 2018 and is currently active in the NPPES registry.
What is the specialty of Carol Broder?
Carol Broder is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 113784-SW-LICSW.
Where does Carol Broder practice?
The practice location is 108 Waite St, Revere, MA 02151-2400. The office can be reached at 781-286-5090 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790260586 directly on the NPPES registry website.