Amanda Percle Broussard, LCSW is a
Social Worker - Clinical based in Maurice, Louisiana. Amanda Percle Broussard is licensed to practice in Louisiana (license number 12320) and her current practice location is
102 Jeanne Picard Dr, Maurice, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(225) 776-6481.
NPI number for Amanda Percle Broussard is 1699362269 and her current mailing address is 102 Jeanne Picard Dr, Maurice, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699362269.
Healthcare Provider's Profile
Full Name | Amanda Percle Broussard |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 102 Jeanne Picard Dr, Maurice, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699362269
- Provider Enumeration Date: 12/29/2020
- Last Update Date: 03/06/2024
Medical Identifiers
Medical identifiers for Amanda Percle Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699362269 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 12320 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Percle Broussard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amanda Percle Broussard, LCSW 102 Jeanne Picard Dr, Maurice, LA 70555-3780 Ph: (225) 776-6481 | Amanda Percle Broussard, LCSW 102 Jeanne Picard Dr, Maurice, LA 70555-3780 Ph: (225) 776-6481 |
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