Active NPI
Sharon C Broder, LCSW
- Clinical Social Worker
- Brookline, MA
National Provider Identifier
1194079996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 195 Saint Paul St Apt 8
Brookline, MA 02446-7162 - Phone
- (857) 222-4411
- NPI assigned
- Oct 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
195 Saint Paul St Apt 8
Brookline, MA 02446-7162
Mailing address
195 Saint Paul St Apt 8
Brookline, MA 02446-7162
Phone (857) 222-4411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427414400000",
"number": "1194079996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 SAINT PAUL ST APT 8",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024467162",
"telephone_number": "857-222-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 SAINT PAUL ST APT 8",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024467162",
"telephone_number": "857-222-4411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODER",
"first_name": "SHARON",
"middle_name": "C",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-31",
"last_updated": "2015-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
- Joyce Euphemia Briere, PHYSICAL THERAPIST
- Brigham and Women'S Hospital
- Brigham and Women'S Hospital
- Nicholas K Brisbois, PHARMD
- Richard Thomas Bristol, PSY.D.
- Richard Alan Brodie, M.D.
- David Alexander Brogan, MA, MDIV
- Bryann Bromley, M.D.
- Brookline Acupuncture Clinic
- Brookline Adult and Child Counseling Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.