Callie Walton McBroom, MSW, LCSWA, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PO17947 Issued in NC

Practice address

500 Millstone Dr Ste 105
Hillsborough, NC 27278-9055

Phone

(919) 636-2034

NPI assigned

Jun 1, 2022

Last updated

Feb 16, 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 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Joyful Journey Counseling & Consulting, PLLC.

  • Clinical Social Worker
  • Hillsborough, NC
  • NPI 1538924659
  NPD Authorized official

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1982343653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4985 HUNT RD",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272788850",
            "telephone_number": "919-636-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MILLSTONE DR STE 105",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272789055",
            "telephone_number": "919-636-2034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4985 Hunt Rd",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NC",
            "postal_code": "272788850",
            "country_code": "US",
            "telephone_number": "919-636-2034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCBROOM",
        "first_name": "CALLIE",
        "middle_name": "WALTON",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSWA, CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "A000690",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "PO17947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.nchopewellness.com/",
            "affiliation": "N",
            "endpointDescription": "webite",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "500 Millstone Dr Ste 105",
            "city": "Hillsborough",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272789055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.nchopewellness.com/",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4985 Hunt Rd",
            "city": "Hillsborough",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272788850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ellion Pap Mangel, DSW, LCSW
• Katrina Marie Marler
• Fran Marshall, LCSW
• Meghan Elisabeth Martin
• Sarah Kathleen McAuliffe, PT
• Chad Steven McCain, D.O.
• Kylie McCarty, DPT
• Carol A. McClelland, MA, LCMHC, LCAS, CCS
• Dorothy Virginia McCoy, LPC
• Jean McDonald, FNP

• Clinical Social Worker in Hillsborough, NC
• Providers in Hillsborough, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.