VIRGINIA LEE BRODERICK
NPI 1750868618
Social Worker - Clinical in Jackson, MI

Active since July 24, 2018
1200 N WEST AVE, JACKSON, MI 49202(517) 315-7522 Get Directions Write a Review

NPPES record last updated: July 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Virginia Lee Broderick NPPES

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

VIRGINIA LEE BRODERICK (NPI 1750868618) is an individual clinical provider in Jackson, Michigan, licensed in Michigan (6801081103) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1750868618
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameVIRGINIA LEE BRODERICK
Location Address1200 N WEST AVEJackson, MI 49202-2179
Mailing Address1200 N West AveJackson, MI 49202-2179 · (517) 315-7522
Sole ProprietorYes
Enumeration DateJuly 24, 2018
NPI 1750868618 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 MI · 6801081103
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.
1200 N WEST AVE, Jackson, MI 49202

Other Names 1

Former Name (1)Virginia Lee Bailey Lmsw

Other Identifiers 1

Other6801081103MI · Michigan Social Work License

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.

Social Worker
1200 N WEST AVE, SUITE 400
JACKSON, MI 49202
Counselor (Mental Health)
1200 N WEST AVE
JACKSON, MI 49202
Social Worker
1200 N WEST AVE, SUITE 600
JACKSON, MI 49202
Counselor (Mental Health)
1200 N WEST AVE, SUITE 400
JACKSON, MI 49202
Dietitian, Registered
1200 N WEST AVE, SUITE 300
JACKSON, MI 49202
Counselor (Mental Health)
1200 N WEST AVE, SUITE 400
JACKSON, MI 49202
Case Manager/Care Coordinator
1200 N WEST AVE
JACKSON, MI 49202
Registered Nurse
1200 N WEST AVE
JACKSON, MI 49202

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 Virginia Broderick's NPI number?

The NPI number for Virginia Broderick is 1750868618. It was assigned to this individual provider in the NPPES registry on July 24, 2018. The provider is also known as Virginia Lee Bailey Lmsw.

Where is Virginia Broderick located?

Virginia Broderick practices at 1200 N West Ave, Jackson, MI 49202. The listed phone number is (517) 315-7522.

What is Virginia 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 Virginia Broderick was last updated on July 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.