NELLIE BRODERICK LICSW, LLC
NPI 1053921346
Social Worker - Clinical in Newton, MA

Active since August 03, 2020
77 COURT ST APT 212, NEWTON, MA 02458(617) 823-5458 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nellie Broderick Licsw, Llc NPPES

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

NELLIE BRODERICK LICSW, LLC (NPI 1053921346) is a healthcare organization registered as a clinical in Newton, Massachusetts and active in the NPI registry since August 2020. The organization lists Nellie Catherine Broderick, Social Worker, as its authorized official.

NPPES Registry Identity

NPI1053921346
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameNELLIE BRODERICK LICSW, LLC
Location Address77 COURT ST APT 212Newton, MA 02458-1465
Mailing Address163 Highland Ave # 1006Needham, MA 02494-3025 · (617) 823-5458
Organization SubpartNo
Authorized OfficialNellie Catherine BroderickSocial Worker · (617) 823-5458
Enumeration DateAugust 3, 2020
NPPES CertifiedAugust 3, 2020
NPI 1053921346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
77 COURT ST APT 212, Newton, MA 02458

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
77 COURT ST APT 212
NEWTON, MA 02458

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nellie Broderick Licsw, LLC's NPI number?

The NPI number for Nellie Broderick Licsw, LLC is 1053921346. It was assigned to this organization in the NPPES registry on August 3, 2020.

Where is Nellie Broderick Licsw, LLC located?

Nellie Broderick Licsw, LLC is located at 77 Court St Apt 212, Newton, MA 02458. The listed phone number is (617) 823-5458.

What is Nellie Broderick Licsw, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Nellie Broderick Licsw, LLC was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.