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

Shannon Broderick, LSCSW

Individual provider Social Worker · NPI 1386096790

Shannon Broderick, LSCSW is a Social Worker in Wichita, Kansas. Licensed in Kansas and Missouri. Registered with an NPI since 2016.

Licensed in
KS, MO
In the registry since
2016
Specialties on file
3

Practice location Address checks out

801 E Douglas Ave Fl 2
Wichita, KS 67202-3548
Phone: (646) 941-7645
Fax: (929) 596-7897
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 07235 (KS)
Social Worker Taxonomy 104100000X · Licence 10002 (KS)
Social Worker Taxonomy 104100000X · Licence 2016027520 (MO)

Record details

NPI number1386096790
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSCSW
Sole proprietorNo
NPI enumeratedJuly 9, 2016
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

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