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ANGELA JAYNE BROUSSARD LSW
NPI 1992201172
Social Worker in Moraine, OH

Active since April 05, 2018
3095 KETTERING BLVD FL 4, MORAINE, OH 45439(937) 293-8300(937) 913-1913 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angela Jayne Broussard Lsw NPPES

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

ANGELA JAYNE BROUSSARD LSW (NPI 1992201172) is an individual social worker in Moraine, Ohio, licensed in Ohio (S.2106441) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1992201172
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameANGELA JAYNE BROUSSARDCredential: LSW
Location Address3095 KETTERING BLVD FL 4Moraine, OH 45439-1983
Mailing Address3095 Kettering Blvd Fl 4Moraine, OH 45439-1983 · (937) 293-8300 · Fax (937) 913-1913
Phone(937) 293-8300
Fax(937) 913-1913
Sole ProprietorNo
Enumeration DateApril 5, 2018
Last NPPES UpdateApril 28, 2022
NPPES CertifiedApril 28, 2022
✔ NPI 1992201172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in OH · S.2106441
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
3095 KETTERING BLVD FL 4, Moraine, OH 45439
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Other Providers at the Same Location NPPES

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

PATRICIA A FIELDS-WRIGHT MS.,LPCC, LICDC
Counselor (Professional)
3095 KETTERING BLVD FL 4
MORAINE, OH 45439
Montgomery County (937) 293-8300

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 Angela Broussard's NPI number?

The NPI number for Angela Broussard is 1992201172. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Where is Angela Broussard located?

Angela Broussard practices at 3095 Kettering Blvd Fl 4, Moraine, OH 45439. The listed phone number is (937) 293-8300.

What is Angela Broussard's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Angela Broussard was last updated on April 28, 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.