MR. SCOTT BROBERG LCSW
NPI 1063755635
Social Worker - Clinical in Chubbuck, ID

Active since April 02, 2013PECOS EnrolledAccepts Medicare Assignment
265 E CHUBBUCK ROAD, CHUBBUCK, ID 83202(208) 237-1711(208) 237-9806 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Scott Broberg Lcsw NPPES

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

MR. SCOTT BROBERG LCSW (NPI 1063755635) is an individual clinical provider in Chubbuck, Idaho, licensed in Idaho (LCSW-40120) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1063755635
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SCOTT BROBERGCredential: LCSW
Location Address265 E CHUBBUCK ROADChubbuck, ID 83202
Mailing Address265 E Chubbuck RoadChubbuck, ID 83202 · (208) 237-1711 · Fax (208) 237-9806
Fax(208) 237-9806
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 2, 2013
Last NPPES UpdateNovember 3, 2020
NPPES CertifiedNovember 3, 2020
NPI 1063755635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in ID · LCSW-40120 Licensed in ID · LMSW-32675
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.
265 E CHUBBUCK ROAD, Chubbuck, ID 83202

Accepted 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

Mr. Scott Broberg Lcsw 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 ID3577700384
PECOS Enrollment IDI20130515000686
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 83202 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 $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 9

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

Counselor (Professional)
265 E CHUBBUCK ROAD
CHUBBUCK, ID 83202
Counselor (Mental Health)
265 E CHUBBUCK ROAD
CHUBBUCK, ID 83202
Counselor (Professional)
265 E CHUBBUCK ROAD
CHUBBUCK, ID 83202
Counselor (Mental Health)
265 E CHUBBUCK ROAD
CHUBBUCK, ID 83202
Physical Therapist
265 E CHUBBUCK ROAD, STE A
CHUBBUCK, ID 83202
Counselor
265 E CHUBBUCK ROAD
CHUBBUCK, ID 83202
Counselor
265 E CHUBBUCK ROAD
CHUBBUCK, ID 83202
Counselor (Mental Health)
265 E CHUBBUCK ROAD
CHUBBUCK, ID 83202

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 Scott Broberg's NPI number?

The NPI number for Scott Broberg is 1063755635. It was assigned to this individual provider in the NPPES registry on April 2, 2013.

Where is Scott Broberg located?

Scott Broberg practices at 265 E Chubbuck Road, Chubbuck, ID 83202. The listed phone number is (208) 237-1711.

What is Scott Broberg's specialty?

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

Is Scott Broberg enrolled in Medicare?

Yes. Scott Broberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Scott Broberg accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Scott Broberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Scott Broberg was last updated on November 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.