Kelly Broderson
NPI 1467702746 · Clinical Social Worker · Lexington, KY
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Broderson is a Clinical Social Worker provider in Lexington, KY (NPI 1467702746).
Provider details
- NPI number
- 1467702746
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6364 (KY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social 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
100% 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
- 2012-09-14
- Last updated
- 2019-05-09
Frequently asked questions
- What is Kelly Broderson's NPI number?
- Kelly Broderson's National Provider Identifier (NPI) is 1467702746, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Broderson's specialty?
- Kelly Broderson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kelly Broderson located?
- Kelly Broderson's practice location on file with NPPES is 245 Fountain Ct Ste 316, Lexington, KY 40509-1888.
- What is Kelly Broderson's phone number?
- The practice phone number listed in the NPPES registry for Kelly Broderson is (859) 257-9210.
- Does Kelly Broderson accept Medicare?
- Kelly Broderson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Broderson's NPI active?
- Yes — Kelly Broderson's NPI (1467702746) is active in the NPPES registry as of the last update on 2019-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.