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LISA K BROUSSARD LCSW008306
NPI 1952045338
Social Worker - Clinical in Jasper, GA

Active since April 22, 2022PECOS EnrolledAccepts Medicare Assignment
27 S MAIN ST, JASPER, GA 30143(678) 230-5164 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2023, Apr 22, 2022 (2 updates tracked since 2022).

About Lisa K Broussard Lcsw008306 NPPES

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

LISA K BROUSSARD LCSW008306 (NPI 1952045338) is an individual clinical provider in Jasper, Georgia, licensed in Georgia (CSW008306) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1952045338
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA K BROUSSARDCredential: LCSW008306
Location Address27 S MAIN STJasper, GA 30143-1600
Mailing Address27 S Main StJasper, GA 30143-1600 · (678) 230-5164
Phone(678) 230-5164
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 22, 2022
Last NPPES UpdateJuly 3, 20232 updates tracked since enumeration
NPPES CertifiedJuly 3, 2023
✔ NPI 1952045338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW008306
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LMSW009255 (GA)
27 S MAIN ST, Jasper, GA 30143
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa K Broussard Lcsw008306 is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890168769
PECOS Enrollment IDI20230224001178
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30143 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 $53.31 – $164.04
Typical copayment $0.00 (range $13.32 – $41.01)
Most-billed visit code NA
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ATURA JORDAN LCSW
Social Worker (Clinical)
27 S MAIN ST
JASPER, GA 30143
Pickens County (706) 455-7067

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 1952045338. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Where is Lisa Broussard located?

Lisa Broussard practices at 27 S Main St, Jasper, GA 30143. The listed phone number is (678) 230-5164.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lisa Broussard was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.