Kathleen Kelley Broeker in Deland - Clinical
Kathleen Kelley Broeker - NPI 1962698977
Kathleen Kelley Broeker is a Clinical in Deland, Florida. Kathleen Kelley Broeker practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathleen Kelley Broeker is 1962698977. The last update date is 2007-09-24.
Kathleen Kelley Broeker's current location address is 100 E Kentucky Ave, Deland, Florida. You can contact this provider via phone number 4077215130. The mailing address for Kathleen Kelley Broeker is 100 E Kentucky Ave, Deland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Kelley Broeker |
|---|---|
| Address | 100 E Kentucky Ave, Deland, Florida |
| Phone Number | 4077215130 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1962698977 |
|---|---|
| Provider Enumeration Date | 2007-09-24 |
| Last Updated Date | 2007-09-24 |
Provider Mailing Address Detail
| Address | 100 E Kentucky Ave |
|---|---|
| City | Deland |
| State | Florida (FL) |
| Post Code | 327242375 |
| Phone Number | 4077215130 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kathleen Kelley Broeker by the Centers for Medicare & Medicaid Services?
The Kathleen Kelley Broeker has been issued the NPI (National Provider Identifier) 1962698977, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kathleen Kelley Broeker is physically located?
The Kathleen Kelley Broeker is physically situated at the following address: 100 E Kentucky Ave, Deland, FL, 327242375.
What is Kathleen Kelley Broeker's area of expertise and its corresponding taxonomy classification?
The Kathleen Kelley Broeker's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Kathleen Kelley Broeker receive its 1962698977 assignment from the Centers for Medicare & Medicaid Services?
The Kathleen Kelley Broeker was assigned its 1962698977 on 2007-09-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kathleen Kelley Broeker's details last updated?
The information pertaining to the Kathleen Kelley Broeker, including its address, specialty, and other details, was most recently updated on 2007-09-24.
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