Jared Mitchell Broschart, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34008077A Issued in IN

Practice address

1928 S Dan Jones Rd
Avon, IN 46123-6678

Phone

(317) 854-8265

Fax

(877) 895-7698

NPI assigned

Mar 30, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Indiana Be Well, Inc.

  • Clinical Social Worker
  • Avon, IN
  • NPI 1588361067
  Medicare reassignment NPD
• Community Health Network, Inc.

  • Psychiatric Hospital Unit
  • Indianapolis, IN
  • NPI 1679545966
  NPD (past)

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1427553452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MERIDIAN ST APT 806",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042373",
            "telephone_number": "317-966-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 S DAN JONES RD",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236678",
            "telephone_number": "317-854-8265",
            "fax_number": "877-895-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSCHART",
        "first_name": "JARED",
        "middle_name": "MITCHELL",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-30",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008077A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "34008077A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rochelle Junie Brewster-Diallo, PMHNP
• Bright View Family Vision, P.C.
• Brittny Sierra Bright, PA-C
• Lashalle Broadnax, LSW
• Jill Broghammer, DO
• Eboni Brown
• Jessica Brown
• Julie Ann Brown
• Latonya V Brown, CADAC LL ,
• Matthew Allen Brown

• Clinical Social Worker in Avon, IN
• Providers in Avon, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.