Individual provider · Type 1 NPI
Dina Broussard, LCSW
Clinical Social Worker · Mamou, LA
Practice location
1510 Napoleon St
Mamou, LA 70554-2320
Fax (337) 468-3620
Mailing address
300 South St
Mamou, LA 70554-4422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 6039 (LA) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
3 other providers at this address
About NPI 1275675043
Dina Broussard, LCSW's National Provider Identifier is 1275675043, issued on Feb 12, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mamou, LA. The record was last updated on Jul 8, 2007.