Individual provider · Type 1 NPI
Michael Anthony Breaux, LCSW
Clinical Social Worker · Fort Polk, LA
Practice location
1585 3rd St Bldg 1170
Fort Polk, LA 71459-5102
Fax (337) 531-3025
Mailing address
1585 3rd St, Office 6065
Fort Polk, LA 71459-5102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | BBH-LCSW-LIC-19106 (MT) |
| Clinical Social Worker | 1041C0700X | LCSW-36892 (ID) |
| Clinical Social Worker | 1041C0700X | 2019003078 (MO) |
| Clinical Social Worker | 1041C0700X | LSW0000007774 (TN) |
| Clinical Social Worker Primary | 1041C0700X | 10225 (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 1447596457
Michael Anthony Breaux, LCSW's National Provider Identifier is 1447596457, issued on Dec 19, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Polk, LA. The record was last updated on Jan 2, 2025.