PATRICIA MCCARTHY BRODERICK (NPI# 1295075695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295075695 |
| Entity Type | Individual |
| Full Name | PATRICIA MCCARTHY BRODERICK |
| Other Name | PATRICIA LEA MCCARTHY |
| Credential | PHD, LPC |
| Practice Address |
21 Fort Evans Rd Ne Ste B Leesburg VA 20176-4488 |
| Mailing Address |
22474 Dinah Pl Leesburg VA 20175-4808 |
| Practice Telephone | 7034436917 |
| Mailing Telephone | 7039574275 |
| Mailing Fax Number | 7039574275 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2014-04-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701004934 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205214780 | Patricia Broderick | Social Worker | 2735 S Kolin Ave, Chicago, IL 60623-4355 | 2015-05-15 |
| 1881957512 | Patricia Broderick | Specialist | 3200 Netherland Ave, Apt 6c, Bronx, NY 10463-3410 | 2012-06-18 |
| Street Address |
21 FORT EVANS RD NE STE B |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-4488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053656629 | Vickie Jean Hagan | Counselor | 21 Fort Evans Rd Ne Ste B, Leesburg, VA 20176-4488 | 2012-12-07 |
| 1477091957 | Nancy J Mcgarry | Social Worker | 21 Fort Evans Rd Ne Ste B, Leesburg, VA 20176-4488 | 2017-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
| Find all providers in zip 20176 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043825557 | The Resilience Network LLC | Counselor | 215 Depot Ct Se # 253, Leesburg, VA 20175-3017 | 2020-09-11 |
| 1316562952 | Zandra Basley Walker | Counselor | 183 Hawkstead Dr, Leesburg, GA 31763-5348 | 2020-06-09 |
| 1649891300 | Meghan Wilmoth Walker | Counselor | 15c Loudoun St Sw, Leesburg, VA 20175-2908 | 2020-05-04 |
| 1104451335 | Kelly Elizabeth Neverson | Counselor | 26 Fairfax St Se Ste 202, Leesburg, VA 20175-3638 | 2020-03-09 |
| 1871140343 | Deeba Khumar-chadha | Counselor | 43911 Kittiwake Dr, Leesburg, VA 20176-6885 | 2019-08-20 |
| 1831651264 | Michelle Elizabeth Vaughan | Counselor | 16480 Meadowview Ct, Leesburg, VA 20175-8907 | 2019-04-04 |
| 1962988113 | Kendall Mccarthy | Counselor | 19268 Creek Field Cir, Leesburg, VA 20176-4300 | 2018-07-11 |
| 1356854897 | Serra Boone | Counselor | 143 Edinborough Dr, Leesburg, GA 31763-4777 | 2017-11-07 |
| 1508394818 | Catherine Theresa Crowe | Counselor | 43201 Cardston Pl, Leesburg, VA 20176-6460 | 2017-05-31 |
| 1790150423 | Jamie Perrella Flynn-pressley | Counselor | 112 Cris Ann St., Leesburg, GA 31763 | 2015-12-07 |
| Find all providers in LEESBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.