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

Mr. Kelly G Broderson

Individual provider Social Worker · NPI 1467702746

Mr. Kelly G Broderson is a Clinical Social Worker in Lexington, Kentucky. Qualified in 2012, 14 years ago. Practices with University of Kentucky, a 786-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
14
Licensed in
KY
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

245 Fountain Ct Ste 316
Lexington, KY 40509-1888
Phone: (859) 257-9210
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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 3992 (KY)
Social Worker Taxonomy 104100000X · Licence 6364 (KY)

Record details

NPI number1467702746
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 14, 2012
Last updated in NPPESMay 9, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice University Of Kentucky — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lexington