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MR. EMERY VAN BROEKHUIZEN MSW, LSWAIC
NPI 1811710163
Social Worker - Clinical in Tacoma, WA

Active since November 05, 2024PECOS EnrolledAccepts Medicare Assignment
4301 S PINE ST, TACOMA, WA 98409(253) 476-6500 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2026, Dec 13, 2024, Nov 8, 2024 (3 updates tracked since 2024).

About Mr. Emery Van Broekhuizen Msw, Lswaic NPPES

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

MR. EMERY VAN BROEKHUIZEN MSW, LSWAIC (NPI 1811710163) is an individual clinical provider in Tacoma, Washington, licensed in Washington (SC61615248) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1811710163
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. EMERY VAN BROEKHUIZENCredential: MSW, LSWAIC
Location Address4301 S PINE STTacoma, WA 98409-7264
Mailing Address4301 S Pine StTacoma, WA 98409-7264 · (253) 476-6500 · Fax (253) 476-6547
Phone(253) 476-6500
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 5, 2024
Last NPPES UpdateJune 5, 20263 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1811710163 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 WA · SC61615248
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.
4301 S PINE ST, Tacoma, WA 98409
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Emery Van Broekhuizen Msw, Lswaic is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658853726
PECOS Enrollment IDI20260306002403
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 98409 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 $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 20

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

ANDREA LYNN ROTTIER LL
Speech-Language Pathologist
4301 S PINE ST, STE 219
TACOMA, WA 98409
Pierce County (253) 476-6550
WILLIAM J. GASS III L.W.
Social Worker (Clinical)
4301 S PINE ST, STE 301
TACOMA, WA 98409
Pierce County (253) 476-6500
KRISTINA LOUISE MOSLEY M ED. BCBA
Behavior Analyst
4301 S PINE ST, SUITE 505
TACOMA, WA 98409
Pierce County (253) 671-9909
DR. KIRAN CHANDRAKANT PATEL MD
Psychiatry & Neurology (Psychiatry)
4301 S PINE ST
TACOMA, WA 98409
Pierce County (253) 476-6500
SEAN M KILLORAN M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4301 S PINE ST, STE 301
TACOMA, WA 98409
Pierce County (253) 476-6500
DR. ANIA FIDA MD
Psychiatry & Neurology (Psychiatry)
4301 S PINE ST
TACOMA, WA 98409
Pierce County (253) 476-6500
DR. NATALIE MARIE WOLFF MD
Psychiatry & Neurology (Psychiatry)
4301 S PINE ST
TACOMA, WA 98409
Pierce County (253) 476-6500
DIANE CORREA LH
Counselor
4301 S PINE ST, STE 301
TACOMA, WA 98409
Pierce County (253) 476-6500

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 Emery Van Broekhuizen's NPI number?

The NPI number for Emery Van Broekhuizen is 1811710163. It was assigned to this individual provider in the NPPES registry on November 5, 2024.

Where is Emery Van Broekhuizen located?

Emery Van Broekhuizen practices at 4301 S Pine St, Tacoma, WA 98409. The listed phone number is (253) 476-6500.

What is Emery Van Broekhuizen's specialty?

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

Is Emery Van Broekhuizen enrolled in Medicare?

Yes. Emery Van Broekhuizen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Emery Van Broekhuizen was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.