Individual provider Active NPI

Michael Broughton

  • Social Worker
  • Washington, DC
National Provider Identifier
1780517755
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LC200004121 Issued in DC
Practice address
1313 New York Ave NW BSMT
Washington, DC 20005-4701
Phone
(202) 420-9707
NPI assigned
Jun 8, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LC200004121 DC Primary

Addresses

Primary practice location

1313 New York Ave NW BSMT
Washington, DC 20005-4701

Mailing address

3620 11TH St NW Apt 1
Washington, DC 20010-1485
Phone (914) 462-9024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20260625001511 DC Practitioner - Clinical Social Worker 3779056395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1151 Bladensburg Rd NE
Suite 101
Washington, DC 20002-2549

1151 Bladensburg Rd NE
Suite 101
Washington, DC 20002-8971

3620 11TH St NW
Apt 1
Washington, DC 20010-1485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1780876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1780517755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 11TH ST NW APT 1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200101485",
            "telephone_number": "914-462-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 NEW YORK AVE NW BSMT",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200054701",
            "telephone_number": "202-420-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUGHTON",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LC200004121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.