Ann Bates Broadbent, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05619100 Issued in NJ

Practice address

283 James St
Morristown, NJ 07960-6372

Phone

(646) 784-5605

NPI assigned

Oct 9, 2009

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

Other names 1

• Ann Bates Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• LDS Family Services

  dba LDS Family Services New York Agency

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1538371216
  NPD (past)

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033444914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 656",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280006",
            "telephone_number": "646-784-5606",
            "fax_number": "212-876-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 JAMES ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606372",
            "telephone_number": "646-784-5605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1682 Wood St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19103",
            "country_code": "US",
            "telephone_number": "646-784-5605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "237 West Lebanon Road",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "19901",
            "country_code": "US",
            "telephone_number": "646-784-5605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROADBENT",
        "first_name": "ANN",
        "middle_name": "BATES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018666",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05619100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "BATES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Bremy, COTA/L
• Debra Brenin-Goldfischer, M.D.
• Lisa Brick, C.A.
• Brillon Counseling
• Courtney Dawes Brillon, MSW, LCSW
• Gregory Brody, MD
• Doreen L Brooks Thomson, APN
• Angela Mae Brooks, PA
• Jessalyn Ariel Brower, MS
• Laura Brower, RN

• Clinical Social Worker in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.