SUSAN S BRODERICK (NPI# 1326184417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326184417 |
| Entity Type | Individual |
| Full Name | SUSAN S BRODERICK |
| Practice Address |
4400 Breckenridge Ln 1st Floor Louisville KY 40218-4082 |
| Mailing Address |
101 W Muhammad Ali Blvd Louisville KY 40202-1423 |
| Practice Telephone | 5025898600 |
| Practice Fax Number | 5025898771 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 1389 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073002556 | Susan Bernice Broderick | Social Worker | 40w222 Lafox Rd Ste P2b, St Charles, IL 60175-7625 | 2018-05-09 |
| 1750504890 | Susan Clare Broderick | Audiologist | 11973 Camp Eden Rd, Golden, CO 80403-8606 | 2007-04-10 |
| 1669784401 | Susan H Broderick | Physical Therapist | 590 Middlebury Rd, Suite A, Middlebury, CT 06762-2562 | 2010-07-09 |
| Street Address |
4400 BRECKENRIDGE LN 1ST FLOOR |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40218-4082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184622680 | Larry Stewart Myers | Psychiatry & Neurology | 4400 Breckenridge Ln, Suite 115, Louisville, KY 40218-4082 | 2005-07-08 |
| 1427421692 | Leo D. Hobbs | Counselor | 4400 Breckenridge Ln, Ste 126, Louisville, KY 40218-4135 | 2015-11-10 |
| 1245608199 | Dexter Thompson Jr. | Social Worker | 4400 Breckenridge Ln, Louisville, KY 40218-4135 | 2015-09-09 |
| 1700201977 | New Beginnings Education and Counseling Center, Inc. | Counselor | 4400 Breckenridge Ln, Suite # 126, Louisville, KY 40218-4135 | 2014-02-25 |
| 1154684785 | Chad Walters,do, LLC | Specialist | 4400 Breckenridge Ln, Ste 124, Louisville, KY 40218-4135 | 2012-06-19 |
| 1902196918 | Rayna L. Nelson | Social Worker | 4400 Breckenridge Ln, 100, Louisville, KY 40218-4135 | 2011-04-11 |
| 1598944035 | Jessica Zizzo | Social Worker | 4400 Breckenridge Ln, Louisville, KY 40218-4082 | 2007-11-01 |
| 1821282674 | Renee Brusie | Rehabilitation Practitioner | 4400 Breckenridge Ln, 1st Flr - 228, Louisville, KY 40218-4082 | 2007-09-04 |
| 1720278039 | Ladonna Genenwein | Social Worker | 4400 Breckenridge Ln, 1st Floor, Louisville, KY 40218-4082 | 2007-08-01 |
| 1073720199 | Anthony Mikosz | Counselor | 4400 Breckenridge Ln, 1st Floor, Louisville, KY 40218-4082 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
| 1992339345 | Rachael P. Abell | Nurse Practitioner | 2210 Buechel Avenue Suite 105, Louisville, KY 40218 | 2020-02-25 |
| 1750938189 | Taylor C Thomas | Nurse Practitioner | 4423 Bardstown Road, Louisville, KY 40218 | 2019-08-21 |
| 1902461692 | Louisville Injury Clinics, Inc | Chiropractor | 4400 Breckenridge Lane, Suite 102, Louisville, KY 40218 | 2019-05-08 |
| 1629564141 | Stepping Stones Counseling | Social Worker | 5414 Bannon Crossing Dr, Louisville, KY 40218 | 2018-07-09 |
| 1396230553 | Kids Without Limits LLC | Home Health | 2204 Bashford Manor Ln, Louisville, KY 40218 | 2018-06-28 |
| 1073008074 | B F P D | Ambulance | 4101 Bardstown Rd, Louisville, KY 40218 | 2018-06-22 |
| 1508358862 | Mary Katherine Biros | Nurse Practitioner | 2202 Buechel Ave Ste 105, Louisville, KY 40218 | 2018-06-03 |
| 1366931644 | Irena Kuca | Student in an Organized Health Care Education/Training Program | 215 Central Avenue Suite 100, Louisville, KY 40218 | 2018-05-02 |
| 1760979124 | Healthy Living Primary Care | General Practice | 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 | 2018-04-20 |
| Find all providers in zip 40218 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407479991 | Robin Conway | Social Worker | 10205 Garlanreid Pl, Louisville, KY 40223-2969 | 2020-05-19 |
| 1154970226 | Pamela Gay Baker | Social Worker | 4407 Jewell Ave, Louisville, KY 40212-2723 | 2019-09-10 |
| 1336703867 | Socialbug Integrated Counseling Services, Inc. | Social Worker | 6801 Dixie Hwy Ste 232, Louisville, KY 40258-3962 | 2019-04-30 |
| 1033698097 | Henry Lomell Buckwalter | Social Worker | 8910 Greeneway Commons Pl Ste 100, Louisville, KY 40220-4065 | 2018-08-10 |
| 1609354075 | Jessica Shea | Social Worker | 355 S Bayly Ave Apt A, Louisville, KY 40206-2574 | 2018-07-29 |
| 1790276087 | Amanda Averette-bush | Social Worker | 5521 Wilke Farm Ave, Louisville, KY 40216-1269 | 2018-05-23 |
| 1265939607 | Caree Gordon | Social Worker | 850 Washburn Ave Apt 325, Louisville, KY 40222-6787 | 2018-04-11 |
| 1477050144 | Jolanta Staniszewska | Social Worker | 1700 Cargo St, Louisville, KY 40299 | 2018-04-10 |
| 1720528862 | Danielle Jennings | Social Worker | 4100 Waterford Cir Apt 5, Louisville, KY 40207-5244 | 2017-03-07 |
| 1912458340 | Richard Nassr | Social Worker | 117 S Crestmoor Ave, Louisville, KY 40206-2736 | 2016-10-20 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40218 |
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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.