Ms Connie Pearl Broussard, LCSW, LMSW is a
Counselor - Professional based in Lafayette, Louisiana. Ms Connie Pearl Broussard is licensed to practice in Louisiana (license number LCSW 9124) and her current practice location is
302 Dulles Dr, Suite 1, Lafayette, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(337) 262-5870.
NPI number for Ms Connie Pearl Broussard is 1790953180 and her current mailing address is 302 Dulles Dr, Suite 1, Lafayette, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790953180.
Healthcare Provider's Profile
Full Name | Ms Connie Pearl Broussard |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 302 Dulles Dr, Lafayette, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790953180
- Provider Enumeration Date: 02/19/2008
- Last Update Date: 02/13/2012
Medical Identifiers
Medical identifiers for Ms Connie Pearl Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790953180 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LMSW 9124 (Louisiana) | Secondary |
101YP2500X | Counselor - Professional | LCSW 9124 (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. Ms Connie Pearl 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 |
Ms Connie Pearl Broussard, LCSW, LMSW 302 Dulles Dr, Suite 1, Lafayette, LA 70506-3008 Ph: (337) 262-5870 | Ms Connie Pearl Broussard, LCSW, LMSW 302 Dulles Dr, Suite 1, Lafayette, LA 70506-3008 Ph: (337) 262-5870 |
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