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JILL ERIN BRODERICK MA
NPI 1710178199
Counselor in Jacksonville, FL

Active since August 09, 2007
5776 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32207(904) 448-4700 Get Directions Write a Review

NPPES record last updated: August 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jill Erin Broderick Ma NPPES

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

JILL ERIN BRODERICK MA (NPI 1710178199) is an individual counselor in Jacksonville, Florida and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1710178199
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJILL ERIN BRODERICKCredential: MA
Location Address5776 SAINT AUGUSTINE RDJacksonville, FL 32207-8030
Mailing Address5776 Saint Augustine RdJacksonville, FL 32207-8030 · (904) 448-4700
Phone(904) 448-4700
Sole ProprietorNo
Enumeration DateAugust 9, 2007
✔ NPI 1710178199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
5776 SAINT AUGUSTINE RD, Jacksonville, FL 32207
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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.

MRS. AMANDA KAY CALLAHAN LCSW
Social Worker (Clinical)
5776 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32207
Duval County (904) 448-4700
RACHEL BLOCK-STEWART LMHC
Counselor (Mental Health)
5776 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32207
Duval County (904) 448-4700
KAREN SOFIA ROMERO DIAZ BAUTISTA
Counselor (Mental Health)
5776 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32207
Duval County (904) 448-4700
MS. KIMBERLY RIVERS RMHCI
Counselor (Mental Health)
5776 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32207
Duval County (904) 504-6843
KYRA NICOLE WEST MSW
Social Worker
5776 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32207
Duval County (904) 835-2203
VICKIE FREEMAN MASTER LEVEL
Counselor (Mental Health)
5776 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32207
Duval County (904) 448-4700
TYSHENDA D JONES
Social Worker
5776 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32207
Duval County (904) 448-7400
JAMES JOSEPH MCLOONE
Counselor (Mental Health)
5776 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32207
Duval County (904) 448-4700

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 Jill Broderick's NPI number?

The NPI number for Jill Broderick is 1710178199. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Where is Jill Broderick located?

Jill Broderick practices at 5776 Saint Augustine Rd, Jacksonville, FL 32207. The listed phone number is (904) 448-4700.

What is Jill Broderick's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jill Broderick was last updated on August 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.