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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA K BROUSSARD, LCSW008306

Active Sole Proprietor

LISA K BROUSSARD, LCSW008306 is a Clinical Social Worker healthcare provider located in JASPER, Georgia. NPI 1952045338 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · JASPER, GA

Registration Details

NPI Number
1952045338
Provider Type
Individual
Gender
Female
NPI Issued
Apr 22, 2022 (4.2718748098777 yrs)
Last Updated
Jul 3, 2023
Licenses
LMSW009255 (GA)
CSW008306 (GA)
Sole Proprietor
Yes

Practice Information

Address
27 S MAIN ST
JASPER, GA, 301431600
Browse GA providers · Browse ZIP 30143
Phone
6782305164
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in JASPER, GA

Name Credential NPI
MARY KATHLEEN WEST LCSW, INC 1134193741
ISMARIE MABRY LCSW 1285819235
MISS SHEILA R JOHNSON LCSW 1578994513
HANNAH MARIE BELL SOCIAL WORKER 1669830030
MICHAEL ESTEL KING LCSW 1386172047
JULIE DELOACH EVERETT LCSW 1407475734
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.