MS. MARGOT BROADDUS (NPI# 1790961068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790961068 |
| Entity Type | Individual |
| Full Name | MS. MARGOT BROADDUS |
| Credential | MSW |
| Practice Address |
494 Blossom Way Hayward CA 94541-1948 |
| Practice Telephone | 5105827676 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
494 BLOSSOM WAY |
| City | HAYWARD |
| State | CA |
| Zip Code | 94541-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841388451 | Garfield Nursing Home, Inc. | Skilled Nursing Facility | 494 Blossom Way, Hayward, CA 94541-1948 | 2006-10-10 |
| 1790961191 | Sandra Hananouchi | Marriage & Family Therapist | 494 Blossom Way, Hayward, CA 94541-1948 | 2008-01-15 |
| 1922293885 | Julia Egan | Psychologist | 494 Blossom Way, Hayward, CA 94541-1948 | 2007-09-12 |
| 1366575243 | Stanislaus County | Community/Behavioral Health | 494 Blossom Way, Hayward, CA 94541-1948 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264442 | Shraddha P Kalgutkar | Occupational Therapist | Windsor Garden Center of Hayward, 1628 B St, Hayward, Ca 94541, Hayward, CA 94541 | 2020-01-14 |
| 1770068215 | Kiran Prasad | Behavior Technician | 1151 A Street, Hayward, Hayward, CA 94541 | 2018-10-01 |
| 1053813287 | Sarra Elizabeth Marin | Behavior Technician | 19261 Medford Ct, Hayward, CA 94541 | 2018-03-03 |
| 1679073803 | Mark Basta | Optometrist | 1237 B St., Hayward, CA 94541 | 2018-02-14 |
| 1417478389 | James Steven Quinn | Counselor | 590 B Street, Hayward, CA 94541 | 2017-06-30 |
| 1689103020 | Natalie Limm | Psychologist | 25099 Oakridge Court, Hayward, CA 94541 | 2017-06-08 |
| 1760911739 | David Patrick Mcguinness | Counselor | 490 B Street, Hayward, CA 94541 | 2017-06-05 |
| 1891235859 | Alzheimer's Services of The East Bay, Incorporated | Clinic/Center | 1105 Walpert Street, Hayward, CA 94541 | 2017-02-24 |
| 1013463629 | Diana Consuelo Rais | Social Worker | 1065 A. Street, Hayward, CA 94541 | 2016-09-01 |
| 1417303934 | Maria Hernandez | Social Worker | 22211 Foothill Blvd., Hayward, CA 94541 | 2016-05-13 |
| Find all providers in zip 94541 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978575 | Bernadette Antoinette Wood | Social Worker | 2944 Kelly St, Hayward, CA 94541-3459 | 2020-10-04 |
| 1811547193 | Michelle L Ellerbee | Social Worker | 677 Morva Ct, Hayward, CA 94541-1826 | 2019-09-18 |
| 1487201182 | Jenell Thompson | Social Worker | 249 W Jackson St # 113, Hayward, CA 94544-1811 | 2019-08-19 |
| 1386110906 | Quimani Green | Social Worker | 22222 Foothill Blvd, Hayward, CA 94541-2711 | 2018-10-22 |
| 1578071627 | Laphonsa Gibbs | Social Worker | 1238 Walpert St Apt 25, Hayward, CA 94541-6710 | 2018-01-10 |
| 1073903878 | Ina Kwofie | Social Worker | 22248 Main St., Hayward, CA 94541 | 2015-01-31 |
| 1104226273 | Mohamed Conteh | Social Worker | 555 Sycamore Avenue #4, Hayward, CA 94544 | 2014-08-26 |
| 1942637699 | Adriana Guadalupe Escobar Correa | Social Worker | 22320 Foothill Blvd Ste 400, Hayward, CA 94541-2719 | 2013-09-26 |
| 1447684378 | Eduardo Felipe Herrera | Social Worker | 21455 Birch St., Hayward, CA 94541 | 2013-08-28 |
| 1144580580 | Rashel Perry | Social Worker | 31840 Chicoine Ave, Hayward, CA 94544-7728 | 2012-05-18 |
| Find all providers in HAYWARD | ||||
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| 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.