JENNIFER BROADDUS LCSW-C
NPI 1982211991
Social Worker - Clinical in Marriottsville, MD

Active since September 24, 2020
11376 BARLEY FIELD WAY, MARRIOTTSVILLE, MD 21104(443) 472-5791 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Broaddus Lcsw-c NPPES

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

JENNIFER BROADDUS LCSW-C (NPI 1982211991) is an individual clinical provider in Marriottsville, Maryland, licensed in Maryland (0583C) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1982211991
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER BROADDUSCredential: LCSW-C
Location Address11376 BARLEY FIELD WAYMarriottsville, MD 21104-1339
Mailing Address11376 Barley Field WayMarriottsville, MD 21104-1339 · (443) 472-5791
Sole ProprietorYes
Enumeration DateSeptember 24, 2020
NPPES CertifiedAugust 23, 2020
NPI 1982211991 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 MD · 0583C
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.
11376 BARLEY FIELD WAY, Marriottsville, MD 21104

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 Jennifer Broaddus's NPI number?

The NPI number for Jennifer Broaddus is 1982211991. It was assigned to this individual provider in the NPPES registry on September 24, 2020.

Where is Jennifer Broaddus located?

Jennifer Broaddus practices at 11376 Barley Field Way, Marriottsville, MD 21104. The listed phone number is (443) 472-5791.

What is Jennifer Broaddus'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 Jennifer Broaddus was last updated on September 24, 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.