TINA MARIE BROADSWORD


Address: 14950 N Coeur Dalene St, Rathdrum, ID 83858-6484
Phone: 2086870538

TINA MARIE BROADSWORD (NPI# 1730714247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730714247
Entity Type Individual
Full Name TINA MARIE BROADSWORD
Credential LMSW
Practice Address 14950 N Coeur Dalene St
Rathdrum
ID 83858-6484
Mailing Address Po Box 2767
Post Falls
ID 83877-2767
Practice Telephone 2086870538
Practice Fax Number 2086873185
Mailing Telephone 2086591550
Enumeration Date 2020-03-04
Last Update Date 2020-03-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker LMSW37001 ID Behavioral Health & Social Service Providers

Office Location

Street Address 14950 N COEUR DALENE ST
City RATHDRUM
State ID
Zip Code 83858-6484

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174183578 Kerri Ruddell Nurse Practitioner 16760 Id-41, Rathdrum, ID 83858 2019-06-18
1811555758 Daniel Whitesitt Dentist 14596 Id-41, Rathdrum, ID 83858 2019-06-05
1831437839 Patricia M Salois Speech-Language Pathologist 1564 Washington Street, Rathdrum, ID 83858 2013-01-25
1063554673 Lakeland Joint School Disrict #272 Local Education Agency (LEA) 1564 Washington Ave, Rathdrum, ID 83858 2007-02-12
1275695140 James M Mcnamara Dentist 13997 W Hwy 53, Rathdrum, ID 83858 2006-12-15
1568573962 Chad Stephen Devore Dentist 14596 Hwy 41, Suite A, Rathdrum, ID 83858 2006-08-31
1811982994 Frances L. White Contractor 14528 N Wight St, Rathdrum, ID 83858 2005-09-15
1578061883 Ann N Moffett Nurse Practitioner 858 Commerce Dr., Smelterville, ID 83858 2018-02-01
1063055069 Karin Sue Duncan Naturopath 16726 N Meadowview Ln, Rathdrum, ID 83858-0017 2019-10-22
1770768624 Gabrielle Durbin Private Vehicle W 7164 Diagonal, Rathdrum, ID 83858-0283 2008-01-09
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912426602 Hailey Myrita Allison Social Worker 14954 N Coeur Dalene St, Rathdrum, ID 83858-6484 2017-09-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821697749 Ashley Weiss Social Worker 973 S Brook Trout Way, Meridian, ID 83642-7745 2020-10-21
1255938205 Samantha Davis Social Worker 564 N Flauson Ave, Kuna, ID 83634-1279 2020-10-02
1518574722 Donna S. Morales Social Worker 479 Madison St, Twin Falls, ID 83301-4722 2020-09-30
1962019513 Jessica Rose Crocker-oswald Social Worker 13 E Ada Ave, Meridian, ID 83642-2725 2020-09-28
1568078681 Tammy Law Social Worker 314 Badiola St # T, Caldwell, ID 83605-4389 2020-09-23
1831704204 Rising Hope Counseling Services, LLC Social Worker 104 9th Ave S # 5a, Nampa, ID 83651-3809 2020-09-12
1720691249 Uzima Health Services LLC Social Worker 1111 S Orchard St Ste 245, Boise, ID 83705-1964 2020-08-25
1932711165 Samantha Paige Averett Social Worker 60 N Broadway, Blackfoot, ID 83221 2020-08-19
1104437995 Erika Lynn Rivera Social Worker 1224 1st St S Ste 307, Nampa, ID 83651-3963 2020-08-14
1881204741 Pacific Wellness LLC Social Worker 212 W Ironwood Dr Ste D-2040, Coeur D Alene, ID 83814-1403 2020-08-05
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Competitor

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City RATHDRUM
Zip Code 83858

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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