Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Broadside Psychotherapy

Organization Clinical Social Worker · NPI 1003737941

Broadside Psychotherapy provides Clinical Social Worker services in Nine Mile Falls, Washington. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

16610 N Suncrest Dr
Nine Mile Falls, WA 99026-9476
Phone: (267) 969-0447
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1003737941
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Isabel Taccheri — Owner · (267) 969-0447
NPI enumeratedJuly 24, 2026
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026
Mailing address1818 W Francis Ave # 180, Spokane, WA 99205-6834

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