Lillian M McBroom, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801065342 Issued in MI

Practice address

517 W Easterday Ave
Sault Sainte Marie, MI 49783-1623

Phone

(906) 635-1508

Fax

(906) 635-7369

NPI assigned

Jul 3, 2006

Last updated

May 12, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1033149497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 W EASTERDAY AVE",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831623",
            "telephone_number": "906-635-1508",
            "fax_number": "906-635-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 W EASTERDAY AVE",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831623",
            "telephone_number": "906-635-1508",
            "fax_number": "906-635-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBROOM",
        "first_name": "LILLIAN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801065342",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801065342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Daniel Matthews, O.D.
• Dana Lynn Mattson
• Katie Elizabeth Mayer, PHARM.D.
• Carmine Mazzuca, ACNPC-AG
• Jonathan McBain
• John McCoy, PHARMACIST
• Rachael Lee McCoy, D.C.
• Kim Leslie McCullough, M.D.
• Lindsey McCullough
• Robert McElhaney, M.D.

• Clinical Social Worker in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.