NPI 1073849006 · live from the CMS NPI Registry
Jennifer A Broomfield, LCSW
Social Worker, Clinical in Rutland, VT. National Provider Identifier 1073849006, active.
NPI record
| NPI | 1073849006 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 231 N Main St, Rutland, VT 05701 |
| Practice phone | 802-772-7992 |
| Mailing address | 10 Mitchell Cir, Newark, DE 19713 |
| Enumerated | October 27, 2009 |
| Last updated | July 9, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | LCSW82362 (CA) |
| Social Worker, Clinical | 1041C0700X | 126114 (MA) |
| Social Worker, Clinical | 1041C0700X | 096548 (IA) |
| Social Worker, Clinical | 1041C0700X | 44SC06329900 (NJ) |
| Social Worker, Clinical primary | 1041C0700X | Q1-0012086 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.