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

Mr. Gerald Keith Brotheridge, LISW

Individual provider Clinical Social Worker · NPI 1427241314

Mr. Gerald Keith Brotheridge, LISW is a Clinical Social Worker in Bowling Green, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

1616 E Wooster St Ste 24
Bowling Green, OH 43402-3478
Phone: (419) 352-4624
Fax: (419) 354-1774
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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 I-0008931 (OH)

Record details

NPI number1427241314
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorNo
NPI enumeratedAugust 23, 2007
Last updated in NPPESAugust 23, 2007

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