MS. LAURA A BRODERICK L.C.S.W
NPI 1396069100
Social Worker - Clinical in Hines, IL

Active since March 23, 2010
5000 S 5TH AVE, HINES, IL 60141(708) 202-8387 Get Directions Write a Review

NPPES record last updated: November 20, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Laura A Broderick L.c.s.w NPPES

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

MS. LAURA A BRODERICK L.C.S.W (NPI 1396069100) is an individual clinical provider in Hines, Illinois, licensed in Illinois (149007636) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1396069100
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. LAURA A BRODERICKCredential: L.C.S.W
Location Address5000 S 5TH AVEHines, IL 60141-3030
Mailing Address5000 S 5th AveHines, IL 60141-3030 · (708) 202-8387
Sole ProprietorNo
Enumeration DateMarch 23, 2010
Last NPPES UpdateNovember 20, 2012
NPI 1396069100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149007636
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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
5000 S 5TH AVE, Hines, IL 60141

Other Identifiers 2

Medicare UPIN149007636IL
Medicaid149007636IL

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.

Kinesiotherapist
5000 S 5TH AVE
HINES, IL 60141
Psychologist (Clinical)
5000 S 5TH AVE
HINES, IL 60141
Social Worker (Clinical)
5000 S 5TH AVE, BUILDING 1, ROOM D102-D
HINES, IL 60141
Psychologist (Clinical)
5000 S 5TH AVE
HINES, IL 60141
Military Hospital (Military General Acute Care Hospital)
5000 S 5TH AVE
HINES, IL 60141
Recreation Therapist
5000 S 5TH AVE
HINES, IL 60141
Pharmacist
5000 S 5TH AVE
HINES, IL 60141
Internal Medicine
5000 S 5TH AVE
HINES, IL 60141

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 Laura Broderick's NPI number?

The NPI number for Laura Broderick is 1396069100. It was assigned to this individual provider in the NPPES registry on March 23, 2010.

Where is Laura Broderick located?

Laura Broderick practices at 5000 S 5th Ave, Hines, IL 60141. The listed phone number is (708) 202-8387.

What is Laura Broderick'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 Laura Broderick was last updated on November 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.