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

Rebecca Broaddus, LISW-S, LICDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1588190532

Rebecca Broaddus, LISW-S, LICDC is an Addiction (Substance Use Disorder) Counselor in Shelby, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2017
Specialties on file
3

Practice location Address checks out

2775 State Route 39
Shelby, OH 44875-9466
Phone: (419) 747-3322
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.2203547 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LICDC.162510 (OH)
Social Worker Taxonomy 104100000X · Licence S.1502432 (OH)

Record details

NPI number1588190532
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S , LICDC
Sole proprietorYes
NPI enumeratedMay 11, 2017
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024

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