Individual provider · Type 1 NPI
Crystal Broussard, PhD, LCSW
Clinical Social Worker · Metairie, LA
Practice location
1512 Nursery Ave
Metairie, LA 70005-1732
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | LC25717 (AL) |
| Clinical Social Worker | 1041C0700X | LICSW1143502 (MA) |
| Clinical Social Worker | 1041C0700X | LC200004562 (DC) |
| Clinical Social Worker | 1041C0700X | 16553 (CT) |
| Clinical Social Worker Primary | 1041C0700X | 12125 (LA) |
| Clinical Social Worker | 1041C0700X | 13190 (MD) |
| Clinical Social Worker | 1041C0700X | LC25717 (ME) |
| Clinical Social Worker | 1041C0700X | 904019569 (VA) |
| Clinical Social Worker | 1041C0700X | ISW04770 (RI) |
| Clinical Social Worker | 1041C0700X | 104033 (NY) |
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 1841970407
Crystal Broussard, PhD, LCSW's National Provider Identifier is 1841970407, issued on Jul 19, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Metairie, LA. The record was last updated on Sep 9, 2026.