Lisa K Broussard, LCSW008306 is a medicare enrolled "Social Worker - Clinical" provider in Jasper, Georgia. She graduated from healthcare school in 2019 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
27 S Main St, Jasper, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 230-5164.
Lisa K Broussard is licensed to practice in Georgia (license number CSW008306) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952045338.
Healthcare Provider's Profile
| Full Name | Lisa K Broussard |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 6 Years |
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| Location | 27 S Main St, Jasper, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Lisa K Broussard graduated from medical school in 2019
NPI Data:
- NPI Number: 1952045338
- Provider Enumeration Date: 04/22/2022
- Last Update Date: 07/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890168769
- Enrollment ID: I20230224001178
Medical Identifiers
Medical identifiers for Lisa K Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1952045338 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | LMSW009255 (Georgia) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW008306 (Georgia) | 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. Lisa K Broussard is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Lisa K Broussard, LCSW008306 27 S Main St, Jasper, GA 30143-1600 Ph: (678) 230-5164 | Lisa K Broussard, LCSW008306 27 S Main St, Jasper, GA 30143-1600 Ph: (678) 230-5164 |
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