Angela Nicole Broom, LCSW is a
Social Worker - Clinical based in Bellwood, Illinois. Angela Nicole Broom is licensed to practice in Illinois (license number 149011218) and her current practice location is
552 52nd Ave, Bellwood, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 925-2966.
NPI number for Angela Nicole Broom is 1376814038 and her current mailing address is 552 52nd Ave, Bellwood, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376814038.
Healthcare Provider's Profile
Full Name | Angela Nicole Broom |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 552 52nd Ave, Bellwood, Illinois |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376814038
- Provider Enumeration Date: 01/25/2012
- Last Update Date: 01/25/2012
Medical Identifiers
Medical identifiers for Angela Nicole Broom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376814038 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149011218 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela Nicole Broom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Angela Nicole Broom, LCSW 552 52nd Ave, Bellwood, IL 60104-1761 Ph: (708) 925-2966 | Angela Nicole Broom, LCSW 552 52nd Ave, Bellwood, IL 60104-1761 Ph: (708) 925-2966 |
Reviews and Comments