Active NPI
Alexis Morgan Broom, MSW, LCSW
- Clinical Social Worker
- Lusby, MD
National Provider Identifier
1245843812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 28551
- Practice address
- 20 Appeal Lane
Lusby, MD 20657-2935 - Phone
- (410) 394-0681
- NPI assigned
- Aug 24, 2020
- Last updated
- May 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 28551 | MD | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
20 Appeal Lane
Lusby, MD 20657-2935
Mailing address
20 Appeal LN
Lusby, MD 20657-2935
Phone (410) 394-0681
Other practice location 1
16701 Melford Blvd Ste 400
Bowie, MD 20715-4411
Phone (415) 424-4266
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 |
|---|---|---|---|
| 28551 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1245843812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 APPEAL LN",
"city": "LUSBY",
"state": "MD",
"postal_code": "206572935",
"telephone_number": "410-394-0681",
"fax_number": "410-326-1860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 APPEAL LANE",
"city": "LUSBY",
"state": "MD",
"postal_code": "206572935",
"telephone_number": "410-394-0681"
}
],
"practiceLocations": [
{
"address_1": "16701 Melford Blvd Ste 400",
"address_purpose": "LOCATION",
"city": "Bowie",
"state": "MD",
"postal_code": "207154411",
"country_code": "US",
"telephone_number": "415-424-4266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROOM",
"first_name": "ALEXIS",
"middle_name": "MORGAN",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-24",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "28551",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lusby, MD
- Cassandra Elisabeth Barron
- Charles Williams Bennett, M.D.
- Les A Binnix, PMHNP, LPCMH
- Felicia Bloodsaw, CERT. HAIR LOSS SPEC
- Blue Sails Counseling and Consulting, Inc
- Dennis McCray Bullock, CERTIFIDE SURGICAL A
- Calvert County Health Department (Calvert County Behavioral Health)
- Calvert County Health Department (Calvert County Behavioral Health)
- Calvert County Health Department (Calvert County Mental Health Clinic)
- Calvert County Health Department (Calvert County Mental Health Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.