Ellen M Broadhurst, LICSW
Counselor, School in West Springfield, Massachusetts
1942782271- Practice location
- 26 Central St, West Springfield, MA 01089-2797
- Phone
- 413-263-3290
- Fax
- 413-263-3278
- Last updated
- December 16, 2020
Ellen M Broadhurst is a Counselor, School based in West Springfield, MA. Ellen M Broadhurst practices in West Springfield, MA and has the professional credentials of LICSW. The NPI Number for Ellen M Broadhurst is 1942782271 and holds a License No. 335678 (MA). The current practice location address for Ellen M Broadhurst is 26 Central St, West Springfield, MA 01089-2797 and can be reached out via phone at 413-263-3290 and via fax at 413-263-3278.
Provider Profile Details
- NPI Number
- 1942782271
- Provider Name
- Ellen M Broadhurst
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 26 Central St, West Springfield, MA 01089-2797
- Phone Number
- 413-263-3290
- Fax Number
- 413-263-3278
- Primary Taxonomy
- Counselor, School · 101YS0200X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 4, 2018
- Last Update Date
- December 16, 2020
- Certification Date
- December 16, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 26 Central St
West Springfield, MA 01089-2797 - City
- West Springfield
- State
- Massachusetts
- Zip
- 01089-2797
- Phone Number
- 413-263-3290
- Fax Number
- 413-263-3278
Provider Business Mailing Address Details
- Address
- 26 Central St
West Springfield, MA 01089-2797 - City
- West Springfield
- State
- MA
- Zip
- 01089-2797
- Phone Number
- 413-263-3290
- Fax Number
- 413-263-3278
License Information
- License Number
- 335678
- License State
- MA
- Taxonomy
- Counselor, School · 101YS0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ellen M Broadhurst, LICSW?
The NPI number of Ellen M Broadhurst, LICSW is 1942782271. It was assigned on September 4, 2018 and is currently active in the NPPES registry.
What is the specialty of Ellen M Broadhurst, LICSW?
Ellen M Broadhurst, LICSW is registered under the primary taxonomy Counselor, School (code 101YS0200X), licensed in MA under license number 335678.
Where does Ellen M Broadhurst, LICSW practice?
The practice location is 26 Central St, West Springfield, MA 01089-2797. The office can be reached at 413-263-3290 (phone) or 413-263-3278 (fax).
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 1942782271 directly on the NPPES registry website.