| Todd Broderius, LICSW | |
|
945 11th Ave, Longview, WA 98632-2555 | |
| (360) 414-8600 | |
| (360) 636-7372 |
| Full Name | Todd Broderius |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 24 Years |
| Location | 945 11th Ave, Longview, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881716942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SWI.LW.60064160 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Okanogan Behavioral Healthcare | 6204828320 | 11 |
| Entity Name | Okanogan Behavioral Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154324929 PECOS PAC ID: 6204828320 Enrollment ID: O20040331000186 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Broderius, LICSW 945 11th Ave, Longview, WA 98632-2555 Ph: (360) 414-8600 | Todd Broderius, LICSW 945 11th Ave, Longview, WA 98632-2555 Ph: (360) 414-8600 |
Mrs. Carolyn Julia O'day, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-636-6235 Fax: 360-575-4805 | |
Norine A Meyer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Broadway, Longview, WA 98632 Phone: 360-414-2132 Fax: 360-414-2024 | |
Julia Jacobs, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1338 Commerce Ave, Longview, WA 98632 Phone: 360-795-5955 | |
Kristen Mendez, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1157 3rd Ave Ste 100, Longview, WA 98632 Phone: 360-751-1112 Fax: 360-577-8879 | |
Fran J Smith, MSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 945 11th Ave, Suite B, Longview, WA 98632 Phone: 360-414-8600 Fax: 360-636-7372 | |
Joanne E Kooistra, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Broadway St, Longview, WA 98632 Phone: 360-414-2236 Fax: 360-414-2788 | |
Sheryl A Kiel, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-636-2400 |