Individual provider Active NPI

Jennifer A Broomfield, LCSW

  • Clinical Social Worker
  • Rutland, VT
National Provider Identifier
1073849006
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0012086 Issued in DE
Practice address
231 N Main St
Rutland, VT 05701-2412
Phone
(802) 772-7992
NPI assigned
Oct 27, 2009
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW82362 CA
Clinical Social Worker 1041C0700X 126114 MA
Clinical Social Worker 1041C0700X 096548 IA
Clinical Social Worker 1041C0700X 44SC06329900 NJ
Clinical Social Worker 1041C0700X Q1-0012086 DE Primary

Addresses

Primary practice location

231 N Main St
Rutland, VT 05701-2412

Mailing address

10 Mitchell Cir
Newark, DE 19713-2522
Phone (727) 515-3227

Other practice location 1

12 Queen St
Worcester, MA 01610-2411
Phone (508) 340-4751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VT, IA3 enrollments
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.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230224002277 MA Practitioner - Clinical Social Worker 9830572114 Reassigns benefits to 1 organization
I20250423001149 VT Practitioner - Clinical Social Worker 9830572114 Reassigns benefits to 5 organizations
I20260121003690 IA Practitioner - Clinical Social Worker 9830572114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers of the Rutland Region IncGroup PAC ID 2961467386, shared by 9 NPIs, 103 clinicians

Practice addresses (Care Compare)

231 N Main St
Rutland, VT 05701-2412
Phone (800) 468-9118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW82362CAMDClinical Social Worker
Q1-0012086DEMDClinical Social Worker
096548IAMDClinical Social Worker
44SC06329900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Rutland Region, Inc. CurrentSince May 15, 2025 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince May 15, 2025 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince May 15, 2025 Accepting new patients
Community Healthlink, Inc. CurrentSince Mar 20, 2023 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince May 15, 2025 Accepting new patients
Southern Iowa Mental Health Center CurrentSince Jan 20, 2026 Accepting new patients
Community Health Centers of the Rutland Region Inc Current Accepting new patients
Community Health Centers of the Rutland Region Inc CurrentSince May 15, 2025 Accepting new patients
Community Healthlink Inc Current Accepting new patients
Southern Iowa Mental Health Center CurrentSince Jan 20, 2026 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince May 15, 2025 Accepting new patients

Locations

1527 Albia Rd
Ottumwa, IA 52501
Phone (641) 682-8772

40 Spruce St
#2
Leominster, MA 01453
Phone (978) 534-6116

12 Queen St
Worcester, MA 01610
Phone (508) 860-1036

72 Jaques Ave
Worcester, MA 01610
Phone (508) 860-1154

275 VT 30 N
Bomoseen, VT 05732
Phone (802) 468-5641

420 Grove St
Brandon, VT 05733
Phone (802) 247-6305

1 General Wing Rd
Rutland, VT 05701
Phone (802) 773-9131

231 N Main St
Rutland, VT 05701
Phone (800) 468-9118

71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118

71 Allen St
Ste 403
Rutland, VT 05701
Phone (802) 772-4414

2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000

278 Vt Route 149
West Pawlet, VT 05775
Phone (800) 468-9118

Interoperability endpoints

  • Direct secure messaging: jbroomfield@chcrr.medentdirect.com

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1073849006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MITCHELL CIR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132522",
            "telephone_number": "727-515-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057012412",
            "telephone_number": "802-772-7992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Queen St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016102411",
            "country_code": "US",
            "telephone_number": "508-340-4751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOMFIELD",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW82362",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "126114",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "096548",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06329900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.