Jinny Broderick, LCSW
NPI 1558441717 · Clinical Social Worker · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jinny Broderick, LCSW is a Clinical Social Worker provider in Fort Wayne, IN (NPI 1558441717).
Provider details
- NPI number
- 1558441717
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 34005183A (IN)
Specialties & taxonomies
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
19 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
- 2006-10-16
- Last updated
- 2010-09-29
Frequently asked questions
- What is Jinny Broderick's NPI number?
- Jinny Broderick's National Provider Identifier (NPI) is 1558441717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jinny Broderick's specialty?
- Jinny Broderick is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jinny Broderick located?
- Jinny Broderick's practice location on file with NPPES is 909 E State Blvd, Fort Wayne, IN 46805-3404.
- What is Jinny Broderick's phone number?
- The practice phone number listed in the NPPES registry for Jinny Broderick is (260) 481-2700.
- Does Jinny Broderick accept Medicare?
- Jinny Broderick is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jinny Broderick's NPI active?
- Yes — Jinny Broderick's NPI (1558441717) is active in the NPPES registry as of the last update on 2010-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.