MS. DEBRA A BROUGHMAN (LMSW, CAADC) – Clinical Social Worker, NPI 1831226216

MS. DEBRA A BROUGHMAN (LMSW, CAADC) is a healthcare provider. based in Grand rapids, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW, CAADC. They hold a License No. 6801087888 (MI). The NPI Number for MS. DEBRA A BROUGHMAN (LMSW, CAADC) is 1831226216

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MS. DEBRA A BROUGHMAN (LMSW, CAADC)
NPI
1831226216
Phone
(269) 273-5000
Address
300 68TH ST SE
Enumeration Date
27 February 2007
Last Update Date
21 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163436700
Graduation Year
2006 (20 years ago)
PAC ID
3678626124
Group Practice PAC ID
4981506508
Professional Enrollment ID
I20090730000249
Address ID
MI490062065KA1530XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for MS. DEBRA A BROUGHMAN (LMSW, CAADC)

  • 300 68TH ST SE

    GRAND RAPIDS, MI 495486927

    Phone: (269) 273-5000

    Fax: (269) 273-8019

    Type: Mailing

  • 210 S Main Street

    Three Rivers, MI 49093

    Phone: (269) 273-5000

    Fax: (269) 273-8019

    Type: Location

  • 300 68th St SE

    Grand Rapids, MI 495486927

    Phone: (800) 678-5500

    Type: Location

  • 1530 NICHOLS RD

    KALAMAZOO, MI 490062065

    Phone: (269) 343-6700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090730000249IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes8214$0
90837Psychotherapy, 1 hour5815$0
View full utilization report →

Insurance plans in this area (ZIP 49548)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981506508View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerIA
P S Y C H I A T R YMI
Clinical PsychologistMI
-MI
Mental Health CounselorMI
Clinical Social WorkerNY
Clinical Social WorkerMI
Clinical PsychologistMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What unique ID ties claims to MS. DEBRA A BROUGHMAN (LMSW, CAADC)?
NPI 1831226216 is assigned to MS. DEBRA A BROUGHMAN (LMSW, CAADC) under the national enumeration system.
Is MS. DEBRA A BROUGHMAN (LMSW, CAADC) active in the national directory?
MS. DEBRA A BROUGHMAN (LMSW, CAADC)'s public NPI profile is in an active state.
What kind of provider is MS. DEBRA A BROUGHMAN (LMSW, CAADC)?
The page reflects Clinical Social Worker for MS. DEBRA A BROUGHMAN (LMSW, CAADC). Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. DEBRA A BROUGHMAN (LMSW, CAADC)?
The page summarizes Grand Rapids, Michigan for MS. DEBRA A BROUGHMAN (LMSW, CAADC); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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