Kim Broadnax, LISW is a
Social Worker - Clinical based in Brooklyn Hts, Ohio. Kim Broadnax is licensed to practice in Ohio (license number I.0005832) and her current practice location is
925 Keynote Cir Ste 300, Brooklyn Hts, Ohio. She can be reached at her office (for appointments etc.) via phone at
(216) 931-1400.
NPI number for Kim Broadnax is 1417411018 and her current mailing address is 5905 Scarlet Oak Dr, Bedford Hts, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417411018.
Healthcare Provider's Profile
| Full Name | Kim Broadnax |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 925 Keynote Cir Ste 300, Brooklyn Hts, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417411018
- Provider Enumeration Date: 01/28/2019
- Last Update Date: 01/28/2019
Medical Identifiers
Medical identifiers for Kim Broadnax such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417411018 | NPI | - | NPPES |
| 1972553063 | Other | OH | NPI |
| 9072202 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | I.0005832 (Ohio) | 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. Kim Broadnax 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 |
Kim Broadnax, LISW 5905 Scarlet Oak Dr, Bedford Hts, OH 44146-3049 Ph: (216) 536-3134 | Kim Broadnax, LISW 925 Keynote Cir Ste 300, Brooklyn Hts, OH 44131-1869 Ph: (216) 931-1400 |
Reviews and Comments