Elizabeth Brodhag, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2304830 Issued in OH

Practice address

112 E Dudley St
Maumee, OH 43537-3366

Phone

(419) 326-5732

NPI assigned

Nov 7, 2023

Last updated

Nov 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindful Therapy Services

  • Clinical Social Worker
  • Columbus, OH
  • NPI 1932033909
  NPD Authorized official
• Bloom Women's Counseling, Consulting, and Wellness, LLC.

  • Adult Mental Health Clinic/Center
  • Maumee, OH
  • NPI 1881268654

  Clinical

  NPD
• Milk & Honeysuckle Lactation and Wellness LLC

  • Lactation Consultant (Registered Nurse)
  • Maumee, OH
  • NPI 1740065002
  NPD

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1336912740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 W LAKEVIEW AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021001",
            "telephone_number": "614-579-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E DUDLEY ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373366",
            "telephone_number": "419-326-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODHAG",
        "first_name": "ELIZABETH",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Lyn Braman
• Marianna Brassell
• Jocelyn Bratt, NP-C
• David Dale Brelinski III, D.C.
• Brightside Health, Inc.
• Jane A Broering Ammons, MD,
• Brook Brogan, RN
• Augusta I Brooks, LPC
• Jason James Brouwer, PH.D.
• Carol Brown

• Clinical Social Worker in Maumee, OH
• Providers in Maumee, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.