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Contact Information

SHANNON BRODERICK, LMSW
529 SE 2ND ST STE D
LEE'S SUMMIT, MO64063-2654
 Phone: 816-581-3737
 Fax: 816-581-3738
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for SHANNON BRODERICK · (Female)

NPI Number 1386096790
Status Active
Credentials LMSW (Licensed Master Social Worker)
Entity Individual
Enumeration date 07/09/2016
Last updated 05/04/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 10002
  • MO License # 2016027520
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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