Amy Broderick, QBHP

Primary specialty

Social WorkerTaxonomy code 104100000X

License

27942-M Issued in AR

Practice address

707 N Cardinal Dr Ste 7
Mountain Home, AR 72653-3274

Phone

(870) 425-5644

NPI assigned

Nov 17, 2009

Last updated

Dec 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ascent Acquisitions Corp-Cypdc

  dba Child & Youth Pediatric Day Clinic

  • Developmentally Disabled Services Day Training Agency
  • Mountain Home, AR
  • NPI 1952434326
  NPD (past)

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1659608347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 BRADLEY DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N CARDINAL DR STE 7",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533274",
            "telephone_number": "870-425-5644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 County Road 458",
            "address_purpose": "LOCATION",
            "city": "Mountain Home",
            "state": "AR",
            "postal_code": "726538212",
            "country_code": "US",
            "telephone_number": "870-425-5252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRODERICK",
        "first_name": "AMY",
        "credential": "QBHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "27942-M",
            "primary": true
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bright Chiropractic LLC (Bright Chiropractic)
• Sarah D Bright, D.C.
• Penny Lee Britt
• BRMC Anesthesia Services, LLC
• Holly Sheray Broadway
• Brooks Medical of Mountain Home, Inc
• Brooks Medical of Mountain Home, Inc.
• Brooks Medical Supply, Inc.
• Elisabeth Brooks, PHARMD
• Emily Brown, LPC

• Social Worker in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.