MRS. KATHLEEN KELLEY BROEKER (NPI# 1962698977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962698977 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN KELLEY BROEKER |
| Credential | MSW |
| Practice Address |
100 E Kentucky Ave Unit J-3 Deland FL 32724-2375 |
| Practice Telephone | 4077215130 |
| Mailing Telephone | 4077215130 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
100 E KENTUCKY AVE UNIT J-3 |
| City | DELAND |
| State | FL |
| Zip Code | 32724-2375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528549490 | Ultra Health Providers of Florida | Internal Medicine | 105 Asterbrooke Dr, Deland, FL 32724 | 2018-08-28 |
| 1811473275 | April Gustafson | Nurse Practitioner | 557 Adenmore Ter, Deland, FL 32724 | 2018-07-18 |
| 1245720820 | Total Renal Laboratories Inc | Clinical Medical Laboratory | 3000 Davita Way, Deland, FL 32724 | 2018-05-18 |
| 1790294742 | Deland Manor Assisted Living Corp | Assisted Living Facility | 245 S. Amelia Ave, Deland, FL 32724 | 2017-09-21 |
| 1639617954 | Starting Point Mental Health, LLC | Counselor | 620 East New York Ave Ste B, Deland, FL 32724 | 2017-02-07 |
| 1255877221 | Emily Eunice | Specialist/Technologist | 2589 W Lake Dr., Deland, FL 32724 | 2017-01-13 |
| 1073960357 | Robert Solomon Jr. | Family Medicine | 1431 Orange Camp Rd Ste 118119, Deland, FL 32724 | 2016-05-17 |
| 1730535568 | Harold Alexander | Hearing Instrument Specialist | 124 S. Amelia Ave, Unit #b, Deland, FL 32724 | 2016-05-11 |
| 1720406747 | Angel Care Homes LLC | Assisted Living Facility | 1349 E. Wisconsin Avenue, Deland, FL 32724 | 2014-04-07 |
| 1508298860 | Lindenlea Assisted Living Inc. | Assisted Living Facility | 1180 Jackson Ranch Rd, Deland, FL 32724 | 2013-08-08 |
| Find all providers in zip 32724 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265039002 | Susan Makinson | Social Worker | 112 W Indiana Ave, Deland, FL 32720-4224 | 2020-10-05 |
| 1023628807 | Brian Shea | Social Worker | 940 Woodsite Dr, Deland, FL 32720-3660 | 2020-08-05 |
| 1023635174 | Alissa Knight | Social Worker | 1160 Crescent Pkwy, Deland, FL 32724-3713 | 2020-07-05 |
| 1801932512 | Kathleen Menocal | Social Worker | 1025 W New York Ave, Deland, FL 32720-5169 | 2007-01-29 |
| 1871646125 | Carrie Oliver | Social Worker | 105 W Calvin St, Deland, FL 32720-7403 | 2007-01-19 |
| 1679596019 | Laura C Chase | Social Worker | 647 S Woodland Blvd, Deland, FL 32720-5810 | 2006-07-26 |
| 1619907540 | Kimberly A May | Social Worker | 120 E New York Ave Ste G, Deland, FL 32724-5527 | 2006-07-04 |
| 1487219408 | Ariane Caparella | Social Worker | 333 W Wisconsin Ave, Deland, FL 32720-4132 | 2019-05-06 |
| 1891269247 | Patricia A Richeson | Social Worker | 333 W Wisconsin Ave, Deland, FL 32720-4132 | 2019-01-18 |
| 1881163673 | Steven Littleton | Social Worker | 201 W Plymouth Ave, Deland, FL 32720-2753 | 2018-11-21 |
| Find all providers in DELAND | ||||
Please comment or provide details below to improve the information on MRS. KATHLEEN KELLEY BROEKER.
| 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.