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

Mrs. Chrisonia Reneice Broadnax, LCSW

Individual provider Counselor · NPI 1770863979

Mrs. Chrisonia Reneice Broadnax, LCSW is a Clinical Social Worker in Fredericksburg, Virginia. Qualified in 2011, 15 years ago. Practices as a sole proprietor. Licensed in Indiana and Virginia.

Years since qualifying
15
Licensed in
IN, VA
In the registry since
2011
Specialties on file
4
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

205 Lookout Way
Fredericksburg, VA 22405-1244
Phone: (270) 303-9247
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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 0904015868 (VA)
Counselor Taxonomy 101Y00000X
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X · Licence 34010681A (IN)

Record details

NPI number1770863979
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 19, 2011
Last updated in NPPESOctober 3, 2023
Certification dateOctober 3, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated

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