EMILY NICOLE BROAD LISW-S
NPI 1043725971
Social Worker - Clinical in Moraine, OH

Q: What is Emily Broad's NPI number?

The NPI number for Emily Broad is 1043725971. It was assigned to this individual provider in the NPPES registry on December 14, 2017.

Q: What is Emily Broad's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Emily Broad was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 14, 2017PECOS EnrolledAccepts Medicare Assignment

3095 KETTERING BLVD, MORAINE, OH 45439(937) 293-8300 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2021, Jun 23, 2020, Dec 14, 2017 (3 updates tracked since 2017).

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About Emily Nicole Broad Lisw-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMILY NICOLE BROAD LISW-S (NPI 1043725971) is an individual clinical provider in Moraine, Ohio, licensed in Ohio (I.2103012-SUPV) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1043725971

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameEMILY NICOLE BROADCredential: LISW-S

Location Address3095 KETTERING BLVDMoraine, OH 45439-1983

Mailing Address3095 Kettering BlvdMoraine, OH 45439-1983

Phone(937) 293-8300

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 14, 2017

Last NPPES UpdateFebruary 23, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2026

✔ NPI 1043725971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OH · I.2103012-SUPV

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

3095 KETTERING BLVD, Moraine, OH 45439

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emily Nicole Broad Lisw-s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961808878

PECOS Enrollment IDI20210901000601

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45439 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.34 – $166.65

Typical copayment $0.00 (range $13.58 – $41.66)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELISSA NICHOLE HOSTETTER

Social Worker