Active NPIIndividual provider

Rosalie Broomfield, LCSW

Social Worker, Clinical in Eugene, Oregon

NPI Number1124577721
Practice location
211 E 7TH Ave, Eugene, OR 97401-2773
Fax
—
Last updated
September 21, 2023

Rosalie Broomfield, LCSW is a Social Worker, Clinical based in Eugene, OR. Rosalie Broomfield, LCSW holds the professional credentials of LCSW. The NPI number for Rosalie Broomfield, LCSW is 1124577721 and holds license No. L10298 (OR). The current practice location address is 211 E 7TH Ave, Eugene, OR 97401-2773 and the office can be reached by phone at 541-915-7181. The NPI was assigned on September 25, 2016 and the record was last updated in NPPES on September 21, 2023.

●Provider Profile Details

NPI Number
1124577721
Provider Name
Rosalie Broomfield
Credential
LCSW
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Enumeration Date
September 25, 2016
Last Update Date
September 21, 2023
Certification Date
September 21, 2023
NPI Status
Active
Other Names
-- Rosalie Macke Gordon (Former Name)

◉Business Practice Location Address

Address
211 E 7TH Ave
Eugene, OR 97401-2773
City
Eugene
State
Oregon
ZIP
97401-2773
Country
US
Phone Number
541-915-7181

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✉Business Mailing Address

Address
1590 E 13TH Ave
Eugene, OR 97403-1967
City
Eugene
State
OR
ZIP
97403-1967
Phone Number
541-346-2154

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Social Worker104100000XNo——
Social Worker, Clinical1041C0700XYesL10298OR

#Other Provider Identifiers

No legacy or other 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 Rosalie Broomfield, LCSW?

The NPI number of Rosalie Broomfield, LCSW is 1124577721. It was assigned on September 25, 2016 and is currently active in the NPPES registry.

What is the specialty of Rosalie Broomfield, LCSW?

Rosalie Broomfield, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X) and holds license No. L10298 (OR).

Where does Rosalie Broomfield, LCSW practice?

The practice location is 211 E 7TH Ave, Eugene, OR 97401-2773. The office can be reached at 541-915-7181 (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 1124577721 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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