Individual provider · Type 1 NPI

Koni Breaux Bridges, LCSW

Clinical Social Worker · Lake Charles, LA

NPI number 1295915387 Active

Practice location

108 State St
Lake Charles, LA 70605-5718

Mailing address

PO Box 1865
Sulphur, LA 70664-1865

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2739 (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…

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About NPI 1295915387

Koni Breaux Bridges, LCSW's National Provider Identifier is 1295915387, issued on Nov 6, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake Charles, LA. The record was last updated on Feb 15, 2019.