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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY BROCCOLI LCSW
NPI 1154306983
Social Worker - Clinical in Camp Pendleton, CA

Active since December 14, 2005
NAVAL HOSPITAL, CAMP PENDLETON, ATTENTION: CODE 094, CAMP PENDLETON, CA 92055(760) 725-1555(760) 725-1350 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Broccoli Lcsw NPPES

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

MARY BROCCOLI LCSW (NPI 1154306983) is an individual clinical provider in Camp Pendleton, California, licensed in California (21113) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1154306983
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY BROCCOLICredential: LCSW
Location AddressNAVAL HOSPITAL, CAMP PENDLETON, ATTENTION: CODE 094Camp Pendleton, CA 92055-5191
Mailing AddressPo Box 555191, Attention: Code 094 Bldg H100Camp Pendleton, CA 92055-5191 · (760) 725-1555 · Fax (760) 725-1350
Phone(760) 725-1555
Fax(760) 725-1350
Sole ProprietorNo
Enumeration DateDecember 14, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1154306983 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 CA · 21113
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.
NAVAL HOSPITAL, CAMP PENDLETON, Camp Pendleton, CA 92055
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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.

MR. SCOTT REXFORD RONEY LMFT
Student in an Organized Health Care Education/Training Program
NAVAL HOSPITAL, CAMP PENDLETON, SANTA MARGARITA ROAD, BLDG H100 CODE 094
CAMP PENDLETON, CA 92055
San Diego County (760) 725-1220
DR. HAROLD IVAN NADEL M.D.
Radiology (Diagnostic Radiology)
NAVAL HOSPITAL, CAMP PENDLETON, BLDG H100 ATTENTION: CODE 094
CAMP PENDLETON, CA 92055
San Diego County (760) 725-3147
DR. WILLIAM LINCOLN ROBERTS M.D.
Family Medicine
NAVAL HOSPITAL, CAMP PENDLETON, BLDG H100, SANTA MARGARITA ROAD
CAMP PENDLETON, CA 92055
San Diego County (760) 725-1398
DR. PAUL S CAMPBELL D.O.
Family Medicine
NAVAL HOSPITAL, CAMP PENDLETON, BLDG H100, #555191, ATTN: CODE 094
CAMP PENDLETON, CA 92055
San Diego County (619) 339-3100
DR. MARILYN MITTLESTAT LUEBBERT D.O.
Family Medicine
NAVAL HOSPITAL, CAMP PENDLETON, BLDG H100, SANTA MARGARITA RD ATTN: CODE CS-PA
CAMP PENDELTON, CA 92055
San Diego County (760) 725-1267
DR. JEFFREY OLEN SCHNEIDER D.C.
Chiropractor
NAVAL HOSPITAL, CAMP PENDLETON, BLDG H100, SANTA MARGARITA ROAD ATTENTION: CODE CS-PA
CAMP PENDLETON, CA 92055
San Diego County (760) 725-1813
DR. ROBERT BRUCE GILLIS MD
Family Medicine
NAVAL HOSPITAL, CAMP PENDLETON, BLDG H100, SANTA MARGARITA ROAD, ATTN: CODE CS-PA
CAMP PENDLETON, CA 92055
San Diego County (760) 725-1400
MS. NANCY JO CHAMBERLAIN RN
Registered Nurse (Infection Control)
NAVAL HOSPITAL, CAMP PENDLETON, BLDG H100
CAMP PENDLETON, CA 92055
San Diego County (760) 725-1571

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 Mary Broccoli's NPI number?

The NPI number for Mary Broccoli is 1154306983. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Mary Broccoli located?

Mary Broccoli practices at Naval Hospital, Camp Pendleton Attention: Code 094, Camp Pendleton, CA 92055. The listed phone number is (760) 725-1555.

What is Mary Broccoli'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 Mary Broccoli was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.