Active NPI
Lori Broich, LSW
- Social Worker
- Hibbing, MN
National Provider Identifier
1285072579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12325
- Practice address
- 990 W 41St St
Hibbing, MN 55746-3045 - Phone
- (218) 256-6109
- NPI assigned
- Jun 7, 2013
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 12325 | MN | Primary |
Addresses
Primary practice location
990 W 41St St
Hibbing, MN 55746-3045
Mailing address
106 Silverwood Avenue PO Box 265
Marble, MN 55764
Phone (218) 256-6109
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 |
|---|---|---|---|
| 12325 | MN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370563200000",
"number": "1285072579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 SILVERWOOD AVENUE PO BOX 265",
"city": "MARBLE",
"state": "MN",
"postal_code": "55764",
"telephone_number": "218-256-6109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 W 41ST ST",
"city": "HIBBING",
"state": "MN",
"postal_code": "557463045",
"telephone_number": "218-256-6109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROICH",
"first_name": "LORI",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-07",
"last_updated": "2013-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "12325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hibbing, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.