Siing Sophi McBroom, LCSW, LISW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW112651 Issued in CA

Practice address

7846 Tipperary CT S
Dublin, OH 43017-8510

Phone

(831) 419-6700

NPI assigned

Jul 27, 2021

Last updated

Jun 14, 2024By 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 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1881367704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2783 MARTIN RD # 137",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172096",
            "telephone_number": "831-419-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7846 TIPPERARY CT S",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430178510",
            "telephone_number": "831-419-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBROOM",
        "first_name": "SIING",
        "middle_name": "SOPHI",
        "credential": "LCSW, LISW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "LICSW4965",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "LICSW4965",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "LISW12304972",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW112651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane L McAllister, PHARMD
• Mary C McAllister, MD
• Regan McAnally, OTR/L
• Alison Gwen McArthur, PH.D.
• Emilie McAvene
• Bianca Bernice McCail, BSN RN
• Braden Andrew McCardle
• Rachel K McCarley, LISW, PMHNP-BC
• Kiley A McCauley, COTA/L
• Leslie McClain

• Clinical Social Worker in Dublin, OH
• Providers in Dublin, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.