Active NPI
Lauren Broschak, MSW, LCSW, LICSW
- Clinical Social Worker
- Falls Church, VA
National Provider Identifier
1194690776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904011062
- Practice address
- 119 Rowell CT
Falls Church, VA 22046-3126 - Phone
- (571) 295-7993
- NPI assigned
- Oct 6, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50081919 | DC | |
| Clinical Social Worker | 1041C0700X | 0904011062 | VA | Primary |
Addresses
Primary practice location
119 Rowell CT
Falls Church, VA 22046-3126
Mailing address
8915 Braeburn Dr
Annandale, VA 22003-3904
Phone (571) 295-7993
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50081919 | DC | MD | Clinical Social Worker |
| 0904011062 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1194690776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8915 BRAEBURN DR",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033904",
"telephone_number": "571-295-7993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 ROWELL CT",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220463126",
"telephone_number": "571-295-7993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROSCHAK",
"first_name": "LAUREN",
"credential": "MSW, LCSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-06",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50081919",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904011062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.