Broderick, Kelly Anne

Broderick, Kelly Anne is an sole proprietor health care provider with primary practice located at 152 Lynnway Ste 2C , Lynn MA 01902-3420. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Broderick, Kelly Anne can be contacted via phone (617) 982-3996.

Contact Information

Primary practice address
152 Lynnway Ste 2C Lynn MA 01902-3420
Phone: (617) 982-3996
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 122657 Massachusetts

Profile Details

NPI number 1407193758
LBN Legal business name Broderick, Kelly Anne
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2013
Last updated May 28th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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