MS. NELLIE CATHERINE BRODERICK LICSW
NPI 1902416290
Social Worker - Clinical in Newton, MA

Active since August 03, 2020
77 COURT ST APT 212, NEWTON, MA 02458(857) 301-9975 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Nellie Catherine Broderick Licsw NPPES

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

MS. NELLIE CATHERINE BRODERICK LICSW (NPI 1902416290) is an individual clinical provider in Newton, Massachusetts, licensed in Massachusetts (120558) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1902416290
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. NELLIE CATHERINE BRODERICKCredential: LICSW
Location Address77 COURT ST APT 212Newton, MA 02458-1465
Mailing Address163 Highland Ave # 1006Needham, MA 02494-3025 · (857) 301-9975
Sole ProprietorYes
Enumeration DateAugust 3, 2020
NPPES CertifiedAugust 3, 2020
NPI 1902416290 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 MA · 120558
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.
77 COURT ST APT 212, Newton, MA 02458

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
77 COURT ST APT 212
NEWTON, MA 02458

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 Nellie Broderick's NPI number?

The NPI number for Nellie Broderick is 1902416290. It was assigned to this individual provider in the NPPES registry on August 3, 2020.

Where is Nellie Broderick located?

Nellie Broderick practices at 77 Court St Apt 212, Newton, MA 02458. The listed phone number is (857) 301-9975.

What is Nellie 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 Nellie Broderick was last updated on August 3, 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.