Active NPI
Jennifer A Broomfield, LCSW
- Clinical Social Worker
- Rutland, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- Q1-0012086
- Practice address
- 231 N Main St
Rutland, VT 05701-2412 - Phone
- (802) 772-7992
- NPI assigned
- Oct 27, 2009
- Last updated
- Jul 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW82362 | CA | MD | Clinical Social Worker |
| Q1-0012086 | DE | MD | Clinical Social Worker |
| 096548 | IA | MD | Clinical Social Worker |
| 44SC06329900 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of the Rutland Region, Inc. | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region, Inc. | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region, Inc. | Current | Accepting new patients | |
| Community Healthlink, Inc. | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region, Inc. | Current | Accepting new patients | |
| Southern Iowa Mental Health Center | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region Inc | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region Inc | Current | Accepting new patients | |
| Community Healthlink Inc | Current | Accepting new patients | |
| Southern Iowa Mental Health Center | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region, Inc. | Current | 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
- 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.
-
dba Rutland Community Health Center
- Federally Qualified Health Center (FQHC)
- Rutland, VT
- NPI 1467681114
-
- Family Medicine Physician
- Brandon, VT
- NPI 1073567590
-
dba dba Mettowee Valley Family Health Center
- Family Medicine Physician
- West Pawlet, VT
- NPI 1104870922
-
- Federally Qualified Health Center (FQHC)
- Bomoseen, VT
- NPI 1336193838
-
dba CHCRR Pediatrics
- Pediatrics Physician
- Rutland, VT
- NPI 1780969345
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Worcester, MA
- NPI 1649293028
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ottumwa, IA
- NPI 1659353670
-
dba Community Health North Main St
- Federally Qualified Health Center (FQHC)
- Rutland, VT
- NPI 1518613215
-
- Federally Qualified Health Center (FQHC)
- Rutland, VT
- NPI 1225400237
-
- Community Health Clinic/Center
- Worcester, MA
- NPI 1235387879
-
dba Southern Iowa Mental Health CCBHC
- Community/Behavioral Health Agency
- Ottumwa, IA
- NPI 1457178428
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.