Lilly Brodie

Individual provider Active NPI Clinical Social Worker · Red Hook, NY

NPI 1861322802 · NPPES record last updated May 21, 2026

Key facts

NPI
1861322802
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
7503 N Broadway Ste 2-8
Red Hook, NY 12571-1463
Phone
(562) 362-9385
NPI assigned
May 21, 2026
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

7503 N Broadway Ste 2-8
Red Hook, NY 12571-1463

Mailing address

PO Box 53
Tivoli, NY 12583-0053

Other providers in Red Hook, NY

All providers in Red Hook, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.