Individual provider Active NPI

Meagan Lindsey Broder, LMSW

  • Clinical Social Worker
  • Columbia, SC
National Provider Identifier
1467173740
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17494 Issued in SC
Practice address
1331 Elmwood Ave Ste 300B
Columbia, SC 29201-2150
Phone
(803) 250-5109
Fax
(803) 369-7100
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 17494 SC Primary

Addresses

Primary practice location

1331 Elmwood Ave Ste 300B
Columbia, SC 29201-2150

Mailing address

3012 Lincoln St
Columbia, SC 29201-1518
Phone (615) 678-3834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20250108001790 SC Practitioner - Clinical Social Worker 7517495278 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Cooperative Health Center, Inc. Social Worker CurrentSince Dec 4, 2024 Accepting new patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Dec 4, 2024 Accepting new patients
Columbia Psychological Services Social Worker Past Accepting new patients
Pediatrics of Newberry, LLC PastSince Sep 11, 2022 Accepting new patients

Locations

4605 Monticello Rd
Ste 1
Columbia, SC 29203
Phone (803) 252-7001

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1467173740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 LINCOLN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292011518",
            "telephone_number": "615-678-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 ELMWOOD AVE STE 300B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012150",
            "telephone_number": "803-250-5109",
            "fax_number": "803-369-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODER",
        "first_name": "MEAGAN",
        "middle_name": "LINDSEY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "17494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.