Individual provider · Type 1 NPI

Melissa Randall Broussard, MSW, LCSW

Clinical Social Worker · Baton Rouge, LA

NPI number 1679087571 Active

Practice location

8585 Picardy Ave
Baton Rouge, LA 70809-3748

Mailing address

18348 Three Bars Dr
Baton Rouge, LA 70817-0707

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10573 (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 1679087571

Melissa Randall Broussard, MSW, LCSW's National Provider Identifier is 1679087571, issued on Nov 30, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baton Rouge, LA. The record was last updated on Nov 30, 2017.