Kelly Broderick, LICSW
NPI 1407193758 · Clinical Social Worker · Lynn, MA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Broderick, LICSW is a Clinical Social Worker provider in Lynn, MA (NPI 1407193758).
Provider details
- NPI number
- 1407193758
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-01-07
- Last updated
- 2020-05-28
- Certified
- 2020-05-28
Frequently asked questions
- What is Kelly Broderick's NPI number?
- Kelly Broderick's National Provider Identifier (NPI) is 1407193758, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Broderick's specialty?
- Kelly Broderick is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kelly Broderick located?
- Kelly Broderick's practice location on file with NPPES is 152 Lynnway Ste 2c, Lynn, MA 01902-3420.
- What is Kelly Broderick's phone number?
- The practice phone number listed in the NPPES registry for Kelly Broderick is (617) 982-3996.
- Does Kelly Broderick accept Medicare?
- Kelly Broderick is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Broderick's NPI active?
- Yes — Kelly Broderick's NPI (1407193758) is active in the NPPES registry as of the last update on 2020-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.