Sheila Eileen Broderick in Durham - Clinical
Sheila Eileen Broderick - NPI 1437259686
Sheila Eileen Broderick is a Clinical in Durham, North Carolina. Sheila Eileen Broderick practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sheila Eileen Broderick is 1437259686. The last update date is 2021-11-29.
Sheila Eileen Broderick's current location address is 1400 Arnette Ave, Durham, North Carolina. You can contact this provider via phone number 9199729958 and fax number 9193081709. The mailing address for Sheila Eileen Broderick is 1400 Arnette Ave, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sheila Eileen Broderick |
|---|---|
| Address | 1400 Arnette Ave, Durham, North Carolina |
| Phone Number | 9199729958 |
| Fax Number | 9193081709 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1437259686 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2021-11-29 |
Provider Mailing Address Detail
| Address | 1400 Arnette Ave |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277071604 |
| Phone Number | 9199729958 |
| Fax Number | 9193081709 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C000912 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 651197169 | NC | UBH PROVIDER NUMBER | |
| 343264 | NC | MAMSI PROVIDER NUMBER | |
| 6002361 | NC | -- | |
| 130YH | NC | BCBS PROVIDER NUMBER | |
| 651197169 | NC | CIGNA PROVIDER NUMBER | |
| 318282 | NC | MHN PROVIDER NUMBER | |
| 456981000 | NC | MAGELLAN PROVIDER NUMBER |
Post Comment/ Review Below
What is the Sheila Eileen Broderick's unique identification number?
The Sheila Eileen Broderick has been assigned the NPI (National Provider Identifier) Number 1437259686 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Sheila Eileen Broderick?
The Sheila Eileen Broderick is situated at 1400 Arnette Ave, in the city of Durham, state of NC, with the zip code 277071604.
What is Sheila Eileen Broderick's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sheila Eileen Broderick's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1437259686 to Sheila Eileen Broderick?
The Centers for Medicare & Medicaid Services originally issued the 1437259686 to Sheila Eileen Broderick on 2006-09-25.
As of what date was the information pertaining to Sheila Eileen Broderick, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Sheila Eileen Broderick, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-11-29.
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