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Contact Information

ASHLEY M BRODERICK, LCSW
27702 CROWN VALLEY PKWY.
D-4 #403
LADERA RANCH, CA92694
 Phone: 949-637-3362
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for ASHLEY M BRODERICK · (Female)

NPI # 1225741531
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 01/02/2023
Last updated 01/02/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 112720
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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