Rosalie Broomfield, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L10298 Issued in OR

Practice address

211 E 7TH Ave
Eugene, OR 97401-2773

Phone

(541) 915-7181

NPI assigned

Sep 25, 2016

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 identifiers 1

Other names 1

• Rosalie Macke Gordon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1474761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1124577721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 E 13TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031967",
            "telephone_number": "541-346-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 7TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012773",
            "telephone_number": "541-915-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOMFIELD",
        "first_name": "ROSALIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-25",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLSW",
            "identifier": "L10298",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSALIE",
            "last_name": "GORDON",
            "middle_name": "MACKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaitlyn Brooks, PTA
• Rebekah Jane Brooks, LCSW
• Stephanie Lynn Brooks, A.T.C.
• Zachary Brooks, DPM
• Lola Madrone Broomberg, LPC
• Stefanie Brosemer, CADCII CRM QMHA
• Kymberlea Kirstin Broten, BS
• Donald Ray Brothers III, PSS, BA, THW
• Kendra Alison Brott, MAT, MS
• William Brotzman

• Clinical Social Worker in Eugene, OR
• Providers in Eugene, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.