Individual provider · Type 1 NPI

Stephanie Broadnax Broussard, LCSW

Clinical Social Worker · Dallas, TX

NPI number 1609305952 Active

Practice location

3410 Worth St Ste 400
Dallas, TX 75246-2092

Call (214) 370-1000 Map

Fax (214) 370-1986

Mailing address

PO Box 911230
Dallas, TX 75391-1230

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X57261 (TX)
Clinical Social Worker Primary 1041C0700X57261 (TX)

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 1609305952

Stephanie Broadnax Broussard, LCSW's National Provider Identifier is 1609305952, issued on Jun 9, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dallas, TX. The record was last updated on May 27, 2022.