ALEXIS BROUSSARD LMSW
NPI 1720706310
Social Worker - Clinical in Lafayette, LA

Active since August 18, 2022
3312 KALISTE SALOOM RD, LAFAYETTE, LA 70508(337) 237-0788 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alexis Broussard Lmsw NPPES

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

ALEXIS BROUSSARD LMSW (NPI 1720706310) is an individual clinical provider in Lafayette, Louisiana, licensed in Louisiana (17163) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1720706310
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALEXIS BROUSSARDCredential: LMSW
Location Address3312 KALISTE SALOOM RDLafayette, LA 70508-7449
Mailing Address318 Elysian Fields DrLafayette, LA 70508-6056 · (337) 654-7031
Sole ProprietorNo
Enumeration DateAugust 18, 2022
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
NPI 1720706310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in LA · 17163
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.

3312 KALISTE SALOOM RD, Lafayette, LA 70508

Other Identifiers 1

Medicaid1701033LA

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Social Worker (Clinical)
3312 KALISTE SALOOM RD
LAFAYETTE, LA 70508
Marriage & Family Therapist
3312 KALISTE SALOOM RD
LAFAYETTE, LA 70508
Counselor (Professional)
3312 KALISTE SALOOM RD
LAFAYETTE, LA 70508
Counselor (Pastoral)
3312 KALISTE SALOOM RD
LAFAYETTE, LA 70508
Psychologist (School)
3312 KALISTE SALOOM RD
LAFAYETTE, LA 70508
Counselor (Mental Health)
3312 KALISTE SALOOM RD
LAFAYETTE, LA 70508
Psychologist (Clinical)
3312 KALISTE SALOOM RD
LAFAYETTE, LA 70508
Counselor (Professional)
3312 KALISTE SALOOM RD, BUILDING #1
LAFAYETTE, LA 70508
Psychologist (School)
3312 KALISTE SALOOM RD
LAFAYETTE, LA 70508
Psychologist (Counseling)
3312 KALISTE SALOOM RD
LAFAYETTE, LA 70508
Counselor (Mental Health)
3312 KALISTE SALOOM RD
LAFAYETTE, LA 70508
Nurse Practitioner (Psychiatric/Mental Health)
3312 KALISTE SALOOM RD
LAFAYETTE, LA 70508

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720706310, enumerated as an "individual" on August 18, 2022.

The provider is located at 3312 KALISTE SALOOM RD LAFAYETTE, LA 70508 and the phone number is (337) 237-0788.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.