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

Malcolm L Broadnax

Individual provider Mental Health Counselor · NPI 1457193278

Malcolm L Broadnax is a Mental Health Counselor in Nottingham, Maryland. Qualified in 2022, 4 years ago. Licensed in Maryland.

Years since qualifying
4
Licensed in
MD
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

4412 Cole Farm Rd
Nottingham, MD 21236-2961
Phone: (443) 528-0822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCA3486 (MD)
Mental Health Counselor Taxonomy 101YM0800X · Licence LGP14898 (MD)

Record details

NPI number1457193278
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 11, 2024
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing address2710 Pelham Ave, Baltimore, MD 21213-1119

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Nottingham