Individual provider · Type 1 NPI

Mario Alden Broussard Ii

Clinical Social Worker · Laurel, MD

NPI number 1992396766 Active

Practice location

8101 Sandy Spring Rd Ste 224
Laurel, MD 20707-3596

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1992396766

Mario Alden Broussard Ii's National Provider Identifier is 1992396766, issued on Feb 3, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Laurel, MD. The record was last updated on Feb 3, 2021.