What is Carol Broder's NPI number?

Carol Broder's National Provider Identifier (NPI) is 1790260586, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Carol Broder's specialty?

Carol Broder is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is Carol Broder located?

Carol Broder's practice location on file with NPPES is 108 Waite St, Revere, MA 02151-2400.

What is Carol Broder's phone number?

The practice phone number listed in the NPPES registry for Carol Broder is (781) 286-5090.

Is Carol Broder's NPI active?

Yes — Carol Broder's NPI (1790260586) is active in the NPPES registry as of the last update on 2018-09-27.

IndividualActive

Carol Broder

NPI 1790260586 · Clinical Social Worker · Revere, MA

Carol Broder is a Clinical Social Worker provider in Revere, MA (NPI 1790260586).

Provider details

NPI number: 1790260586
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No
License: 113784-SW-LICSW (MA)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense 113784-SW-LICSW (MA)
Behavioral Health & Social Service Providers

Profile Score

Established profile(67/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 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

108 Waite St

Revere, MA 02151-2400

Phone: (781) 286-5090

Street-level locationGet directions

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Mailing address