Smith Emily Broadwell, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21678 Issued in MD

Practice address

914 Bay Ridge Rd Ste 210
Annapolis, MD 21403-3994

Phone

(443) 230-4347

NPI assigned

Apr 14, 2017

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)

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.

• Tuning in Wellness. LLC

  • Clinical Social Worker
  • Annapolis, MD
  • NPI 1235727629
  NPD Authorized official

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1598299752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 BAY RIDGE RD STE 210",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214033994",
            "telephone_number": "443-230-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 BAY RIDGE RD STE 210",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214033994",
            "telephone_number": "443-230-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADWELL",
        "first_name": "SMITH",
        "middle_name": "EMILY",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-14",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brightview Annapolis, LLC
• Andrew E Briglia, DO
• Jo Anne Brilliant, O.D.
• Erin D Brimhall, C.R.N.P.
• Rachel Danielle Britt
• Olivia Brocato, M.S., LCPC
• Ann Page Brocker
• Molly D Brockett, PA-C
• Andrew Larence Broda
• Bronson Wellness LLC

• Clinical Social Worker in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.