Elizabeth House Brodhead, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW008341 Issued in GA

Practice address

51 Johnny Mercer Blvd Ste B2
Savannah, GA 31410-4924

Phone

(912) 659-4414

NPI assigned

Feb 28, 2021

Last updated

May 13, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eight Cranes Acupuncture & Counseling, LLC

  • Clinical Social Worker
  • Savannah, GA
  • NPI 1659991214
  NPD Authorized official

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

{
    "created_epoch": "1614470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683936000000",
    "number": "1841884061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 JOHNNY MERCER BLVD STE B2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314104924",
            "telephone_number": "912-659-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 JOHNNY MERCER BLVD STE B2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314104924",
            "telephone_number": "912-659-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODHEAD",
        "first_name": "ELIZABETH",
        "middle_name": "HOUSE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-28",
        "last_updated": "2023-05-13",
        "certification_date": "2023-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW009131",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Thomas Broderick, MD
• Thomas Broderick, D.D.S., M.S.
• Deveney Brodersen, RBT
• Sonia Brodeur-Lyons, OT
• Benjamin Richard Brodhead, L.AC.
• Laura Taylor Brodmann, PHARMD
• Samantha Brody, PHARMD
• Aidan August Broker
• William James Bromberg, MD
• Jennifer Goodrich Bromley, M.D.

• Clinical Social Worker in Savannah, GA
• Providers in Savannah, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2023; 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.