Jennifer A Broomfield, LCSW

Key facts

NPI

1073849006

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

Q1-0012086 (DE)

Practice address

231 N Main St
Rutland, VT 05701-2412

Phone

(802) 772-7992

NPI assigned

Oct 27, 2009

Sex

Female

Sole proprietor

No

Organizations & group practices 13

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.

• Community Health Centers of the Rutland Region Inc Federally Qualified Health Center (FQHC) · Rutland, VT · NPI 1467681114
  Medicare reassignment Care Compare group NPD VT
• Community Health Centers of the Rutland Region, Inc. Family Medicine Physician · Brandon, VT · NPI 1073567590
  Medicare reassignment Care Compare group NPD VT
• Community Health Centers of the Rutland Region, Inc. Family Medicine Physician · West Pawlet, VT · NPI 1104870922
  Medicare reassignment Care Compare group NPD VT
• Community Health Centers of the Rutland Region, Inc. Federally Qualified Health Center (FQHC) · Bomoseen, VT · NPI 1336193838
  Medicare reassignment Care Compare group NPD VT
• Community Health Centers of the Rutland Region, Inc. Pediatrics Physician · Rutland, VT · NPI 1780969345
  Medicare reassignment Care Compare group NPD VT
• Community Healthlink Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Worcester, MA · NPI 1649293028
  Medicare reassignment NPD MA
• Southern Iowa Mental Health Center Mental Health Clinic/Center (Including Community Mental Health Center) · Ottumwa, IA · NPI 1659353670
  Medicare reassignment NPD IA
• Community Health Centers of the Rutland Region Inc Federally Qualified Health Center (FQHC) · Rutland, VT · NPI 1518613215
  Care Compare group NPD
• Community Health Centers of the Rutland Region, Inc. Federally Qualified Health Center (FQHC) · Rutland, VT · NPI 1225400237
  Care Compare group NPD
• Community Health Centers of the Rutland Region, Inc Federally Qualified Health Center (FQHC) · Shoreham, VT · NPI 1811241094
  Care Compare group
• Community Health Centers of the Rutland Region, Inc. Dentist · Rutland, VT · NPI 1437364759
  Care Compare group
• Community Healthlink, Inc. Community Health Clinic/Center · Worcester, MA · NPI 1235387879
  NPD
• Southern Iowa Mental Health Center Community/Behavioral Health Agency · Ottumwa, IA · NPI 1457178428
  NPD

Medicare Care Compare profile

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 (103 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled (3 enrollments) in MA, VT, IA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Interoperability endpoints

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2025.

{
    "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

• Catherine Brewer, LICSW
• Todd Brewster
• Stephanie Briggs, MD
• Stephen M Brittain, MD
• Emily Brooks, MA, LMFT
• Katherine Mary Brower, MD
• Lori M Brown-Stone, LCMHC
• Abigail Rose Brown, PA-C
• Alyssa Mary Brown, APRN
• Krystal J Brown, LICSW

All providers in Rutland, VT · Clinical Social Worker in Vermont