Individual provider Active NPI

Nomi Van Den Broeck, LMSW

  • Clinical Social Worker
  • Frederick, MD
National Provider Identifier
1780509885
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34771 Issued in MD
Practice address
308 W Patrick St Ste 2-B
Frederick, MD 21701-4889
Phone
(240) 732-0414
NPI assigned
Aug 10, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 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 34771 MD Primary

Addresses

Primary practice location

308 W Patrick St Ste 2-B
Frederick, MD 21701-4889

Mailing address

3200 Riverwalk PL Unit 332
Frederick, MD 21701-3658
Phone (630) 770-3424

Other practice location 1

10354 Supercenter Dr
Hagerstown, MD 21740-9724
Phone (240) 347-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1780509885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 RIVERWALK PL UNIT 332",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013658",
            "telephone_number": "630-770-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W PATRICK ST STE 2-B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014889",
            "telephone_number": "240-732-0414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10354 Supercenter Dr",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217409724",
            "country_code": "US",
            "telephone_number": "240-347-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DEN BROECK",
        "first_name": "NOMI",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "34771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.