Kaitlyn Broderick

Primary specialty

Social WorkerTaxonomy code 104100000X

License

133949 Issued in NY

Practice address

1930 Bedford Ave
Brooklyn, NY 11225-5382

Phone

(718) 769-2698

NPI assigned

Oct 16, 2026

Last updated

Oct 16, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1801792841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 HICKORY ST",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832603",
            "telephone_number": "516-761-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112255382",
            "telephone_number": "718-769-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODERICK",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "133949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Brockmann, CNM
• Anissa Brockway, OCCUPATIONAL THERAPI
• Elizabeth Brod, OTR/L
• Daniel Brodbeker
• Elyse Mia Broder
• Keely A Broderick
• Marcelle Raven Broderick
• Rhea Theresa Broderick, RT,LAC
• Konstantin Brodetskiy
• Leah Brodfuehrer

• Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.