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LISA BROUSSARD LCSW
NPI 1538880596
Social Worker - Clinical in Denver, CO

Active since September 08, 2022PECOS Enrolled
3667 MONACO PKWY, DENVER, CO 80207(720) 768-3873 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa Broussard Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA BROUSSARD LCSW (NPI 1538880596) is an individual clinical provider in Denver, Colorado and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1538880596
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA BROUSSARDCredential: LCSW
Location Address3667 MONACO PKWYDenver, CO 80207-1439
Mailing Address3667 Monaco PkwyDenver, CO 80207-1439 · (720) 768-3873
Phone(720) 768-3873
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 8, 2022
NPPES CertifiedSeptember 8, 2022
✔ NPI 1538880596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3667 MONACO PKWY, Denver, CO 80207
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Company, Security Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Broussard Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103294624
PECOS Enrollment IDI20240402001380
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisa Broussard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sondermind Provider Network LLC
4.7 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Colorado enrollment
  • 940 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279
Veterans Memorial Hospital City Of Waukon Ia
729 mi
Rural Health
124 W GREENE ST
Postville, IA 52162
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1164599643 (Iowa)
  • 89 clinicians in this Medicare group
NPI 1417696527 (563) 864-7221

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.06 – $174.82
Typical copayment $0.00 (range $14.51 – $43.70)
Most-billed visit code NA
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Broussard's NPI number?

The NPI number for Lisa Broussard is 1538880596. It was assigned to this individual provider in the NPPES registry on September 8, 2022.

Where is Lisa Broussard located?

Lisa Broussard practices at 3667 Monaco Pkwy, Denver, CO 80207. The listed phone number is (720) 768-3873.

What is Lisa Broussard's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lisa Broussard enrolled in Medicare?

Yes. Lisa Broussard is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lisa Broussard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Broussard reassigns Medicare benefits to 2 organizations: Sondermind Provider Network LLC (Denver, CO) and Veterans Memorial Hospital City Of Waukon Ia (Postville, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Broussard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Broussard accept?

Health plans from Anthem Blue Cross and Blue Shield, Oscar Insurance Company, Security Health Plan, Select Health and UnitedHealthcare and 1 other insurer list Lisa Broussard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Broussard was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.