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

Mr. Emery Van Broekhuizen, MSW, LSWAIC

Individual provider Clinical Social Worker · NPI 1811710163

Mr. Emery Van Broekhuizen, MSW, LSWAIC is a Clinical Social Worker in Tacoma, Washington. Qualified in 2024, 2 years ago. Accepts Medicare assignment. Licensed in Washington.

Years since qualifying
2
Licensed in
WA
In the registry since
2024
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

4301 S Pine St
Tacoma, WA 98409-7264
Phone: (253) 476-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SC61615248 (WA)

Record details

NPI number1811710163
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LSWAIC
Sole proprietorNo
NPI enumeratedNovember 5, 2024
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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