Individual provider · Type 1 NPI

Lauren Michelle Broussard, LCSW

Clinical Social Worker · Winston, OR

NPI number 1922358720 Active

Practice location

671 SW Main St
Winston, OR 97496-6571

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL10925 (OR)

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 1922358720

Lauren Michelle Broussard, LCSW's National Provider Identifier is 1922358720, issued on Sep 19, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Winston, OR. The record was last updated on Mar 30, 2022.