National Provider Identifier

Lexona Broadbent, LCSW-R

Lexona Broadbent, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Shortsville, NY and a listed phone number of (585) 289-9649.

NPI 1922479872Shortsville, NYClinical Social Worker

Profile Overview

NPI
1922479872
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
October 16, 2015
Last Updated
October 16, 2015

Practice Location

  • 1506 Route 21
  • Shortsville, NY 14548-9502

Phone: (585) 289-9649

Specialties

  • Clinical Social Worker (1041C0700X)
  • School Social Worker (1041S0200X)
Full Record
NPI
1922479872
Entity Type
Individual
Last Name
Broadbent
First Name
Lexona
Name Prefix
Mrs.
Credential
LCSW-R
Mailing Street Address
1506 Route 21
Mailing City
Shortsville
Mailing State
NY
Mailing ZIP Code
14548-9502
Mailing Country
US
Mailing Phone
(585) 289-9649
Practice Street Address
1506 Route 21
Practice City
Shortsville
Practice State
NY
Practice ZIP Code
14548-9502
Practice Country
US
Practice Phone
(585) 289-9649
Enumeration Date
October 16, 2015
Last Updated
October 16, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), School Social Worker (1041S0200X)