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

Individual provider Clinical Social Worker · NPI 1881716942

Todd Broderius, LICSW is a Clinical Social Worker in Longview, Washington. Qualified in 2002, 24 years ago. Practices with Okanogan Behavioral Healthcare, an 11-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
24
Licensed in
WA
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

945 11th Ave
Longview, WA 98632-2555
Phone: (360) 414-8600
Fax: (360) 636-7372
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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 SWI.LW.60064160 (WA)

Record details

NPI number1881716942
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 6, 2007
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address945 11th Ave, Longview, WA 98632-2555

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Okanogan Behavioral Healthcare — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Longview