Individual provider · Type 1 NPI
Lisa K. Broussard, LCSW008306
Clinical Social Worker · Jasper, GA
Practice location
27 S Main St
Jasper, GA 30143-1600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LMSW009255 (GA) |
| Clinical Social Worker Primary | 1041C0700X | CSW008306 (GA) |
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…
Another provider at this address
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About NPI 1952045338
Lisa K. Broussard, LCSW008306's National Provider Identifier is 1952045338, issued on Apr 22, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jasper, GA. The record was last updated on Jul 3, 2023.