TINA MARIE BROADSWORD LMSW
NPI 1730714247
Social Worker - Clinical in Rathdrum, ID

Active since March 04, 2020PECOS Enrolled
14950 N COEUR DALENE ST, RATHDRUM, ID 83858(208) 687-0538(208) 687-3185 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2020, Mar 4, 2020 (2 updates tracked since 2020).

About Tina Marie Broadsword Lmsw NPPES

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

TINA MARIE BROADSWORD LMSW (NPI 1730714247) is an individual clinical provider in Rathdrum, Idaho, licensed in Idaho (LMSW37001) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Coeur D Alene.

NPPES Registry Identity

NPI1730714247
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTINA MARIE BROADSWORDCredential: LMSW
Location Address14950 N COEUR DALENE STRathdrum, ID 83858-6484
Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · (208) 625-4700 · Fax (208) 625-4701
Fax(208) 687-3185
Sole ProprietorYes
Enumeration DateMarch 4, 2020
Last NPPES UpdateDecember 14, 20202 updates tracked since enumeration
NPPES CertifiedDecember 14, 2020
NPI 1730714247 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 ID · LMSW37001
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 ListedSocial WorkerTaxonomy 104100000X · License LMSW37001 (ID)
14950 N COEUR DALENE ST, Rathdrum, ID 83858

Secondary Practice Location 1

Location 1700 W Ironwood Dr Ste 130Coeur D Alene, ID 83814-4404 · Phone (208) 625-4700

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 (PECOS)

Tina Marie Broadsword Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 83858 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.

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 Tina Broadsword's NPI number?

The NPI number for Tina Broadsword is 1730714247. It was assigned to this individual provider in the NPPES registry on March 4, 2020.

Where is Tina Broadsword located?

Tina Broadsword practices at 14950 N Coeur Dalene St, Rathdrum, ID 83858. The listed phone number is (208) 687-0538.

What is Tina Broadsword's specialty?

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

Is Tina Broadsword enrolled in Medicare?

Yes. Tina Broadsword is registered in the Medicare PECOS enrollment system.

What insurance does Tina Broadsword accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Tina Broadsword 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 Tina Broadsword was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.