Rebecca Broaddus, LISW-S, LICDC
NPI 1588190532 · Clinical Social Worker · Shelby, OH
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rebecca Broaddus, LISW-S, LICDC is a Clinical Social Worker provider in Shelby, OH (NPI 1588190532).
Provider details
- NPI number
- 1588190532
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LISW-S, LICDC
- Sex
- Female
- Sole proprietor
- Yes
- License
- LICDC.162510 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
9 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
- 2017-05-11
- Last updated
- 2024-11-21
- Certified
- 2024-11-21
Frequently asked questions
- What is Rebecca Broaddus's NPI number?
- Rebecca Broaddus's National Provider Identifier (NPI) is 1588190532, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rebecca Broaddus's specialty?
- Rebecca Broaddus is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Rebecca Broaddus located?
- Rebecca Broaddus's practice location on file with NPPES is 2775 State Route 39, Shelby, OH 44875-9466.
- What is Rebecca Broaddus's phone number?
- The practice phone number listed in the NPPES registry for Rebecca Broaddus is (419) 747-3322.
- Does Rebecca Broaddus accept Medicare?
- Rebecca Broaddus is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rebecca Broaddus's NPI active?
- Yes — Rebecca Broaddus's NPI (1588190532) is active in the NPPES registry as of the last update on 2024-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.