Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Emily Nicole Broad, LISW-S

Individual provider Clinical Social Worker · NPI 1043725971

Emily Nicole Broad, LISW-S is a Clinical Social Worker in Moraine, Ohio. Qualified in 2019, 7 years ago. Practices with Psychological and Behavioral Consultants LLC, a 577-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2017

Practice location Address checks out

3095 Kettering Blvd
Moraine, OH 45439-1983
Phone: (937) 293-8300
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.2103012-SUPV (OH)

Record details

NPI number1043725971
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S
Sole proprietorNo
NPI enumeratedDecember 14, 2017
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Psychological And Behavioral Consultants Llc — 577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Moraine