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KELLY ANNE BRODERICK LICSW
NPI 1407193758
Social Worker - Clinical in Lynn, MA

Active since January 07, 2013PECOS Enrolled
152 LYNNWAY STE 2C, LYNN, MA 01902(617) 982-3996 Get Directions Write a Review

NPPES record last updated: May 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Anne Broderick Licsw NPPES

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

KELLY ANNE BRODERICK LICSW (NPI 1407193758) is an individual clinical provider in Lynn, Massachusetts, licensed in Massachusetts (122657) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1407193758
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY ANNE BRODERICKCredential: LICSW
Location Address152 LYNNWAY STE 2CLynn, MA 01902-3420
Mailing Address811 Polo Rd Apt 235Columbia, SC 29223-4425 · (207) 671-3599
Phone(617) 982-3996
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 7, 2013
Last NPPES UpdateMay 28, 2020
NPPES CertifiedMay 28, 2020
✔ NPI 1407193758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · 122657
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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
152 LYNNWAY STE 2C, Lynn, MA 01902
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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, Harvard Pilgrim Health Care, Providence Health Plan 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 (PECOS)

Kelly Anne Broderick Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153700166
PECOS Enrollment IDI20260409000139
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 01902 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 $58.86 – $177.36
Typical copayment $0.00 (range $14.71 – $44.34)
Most-billed visit code NA
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 8

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

CHRISTOPHER CARLSON LICSW
Social Worker (Clinical)
152 LYNNWAY STE 2C
LYNN, MA 01902
Essex County (781) 309-7725
CHERYL JEAN
Counselor (Mental Health)
152 LYNNWAY STE 2C
LYNN, MA 01902
Essex County (617) 516-4160
THOMAS HUTCHINSON
Psychologist (Psychoanalysis)
152 LYNNWAY STE 2C
LYNN, MA 01902
Essex County (617) 341-9690
MARIA DEL MAR MIRANDA-VILELLA
Counselor
152 LYNNWAY STE 2C
LYNN, MA 01902
Essex County (617) 982-3996
CELESTE LOETZ
Counselor (Mental Health)
152 LYNNWAY STE 2C
LYNN, MA 01902
Essex County (617) 341-9690
MR. ANDREW VELASQUEZ
Social Worker (Clinical)
152 LYNNWAY STE 2C
LYNN, MA 01902
Essex County (617) 982-3996
AEON NONPROFIT TRAINING ASSOCIATES, LLC
Clinic/Center (Adult Mental Health)
152 LYNNWAY STE 2C
LYNN, MA 01902
Essex County (617) 982-3996
ELIZABETH JEAN HORTIE LICSW
Social Worker (Clinical)
152 LYNNWAY STE 2C
LYNN, MA 01902
Essex County (781) 656-5144

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 Kelly Broderick's NPI number?

The NPI number for Kelly Broderick is 1407193758. It was assigned to this individual provider in the NPPES registry on January 7, 2013.

Where is Kelly Broderick located?

Kelly Broderick practices at 152 Lynnway Ste 2C, Lynn, MA 01902. The listed phone number is (617) 982-3996.

What is Kelly Broderick's specialty?

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

Is Kelly Broderick enrolled in Medicare?

Yes. Kelly Broderick is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Broderick accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan and UnitedHealthcare list Kelly Broderick 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 Kelly Broderick was last updated on May 28, 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.