Melissa Jeanne Breaux, LCSW
Individual provider Active NPI Clinical Social Worker · Marksville, LA
NPI 1215080064 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1215080064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 5280 (LA)
- Practice address
- 694 Government St
Marksville, LA 71351-2945 - Phone
- (318) 253-9638
- Fax
- (318) 253-6354
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Central la Human Services District
Practice addresses (Care Compare)
694 Government St
Marksville, LA 71351-2945
Phone (318) 253-9638
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130408000189 | LA | Practitioner - Clinical Social Worker | 5698910057 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5280 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central la Human Services District | Current | Accepting new patients | |
| Central la Human Services District | Current |
Accepting new patients |
Locations
5411 Coliseum Blvd
Alexandria, LA 71303
Phone (318) 484-6850
2801 Fourth St
Ste 5
Jonesville, LA 71343
Phone (318) 339-8553
105 Belview Rd
Leesville, LA 71446
Phone (337) 238-6431
694 Government St
Marksville, LA 71351
Phone (318) 253-9638
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5280 | LA | Yes |
Addresses
Primary practice location
694 Government St
Marksville, LA 71351-2945
Mailing address
694 Government St
Marksville, LA 71351-2945
Phone (318) 253-9638
Other providers in Marksville, LA
- James Lynn Bordelon Jr.
- Kevin John Bordelon
- Kimberly Bordelon
- Madison Bordelon
- Mallory Bordelon
- Donna L Breen
- Abby Fay Brevelle
- Catherine A. Brooks
- Analee Magan Brossette
- Beau Brouillette
All providers in Marksville, LA · Clinical Social Worker in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.