Lisa Broussard, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3667 Monaco Pkwy
Denver, CO 80207-1439

Phone

(720) 768-3873

NPI assigned

Sep 8, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, IA, WI3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442
  Medicare reassignment NPD
• Veterans Memorial Hospital City of Waukon Ia

  • Critical Access Hospital
  • Waukon, IA
  • NPI 1164599643
  Medicare reassignment NPD
• Veterans Memorial Hospital City of Waukon Ia

  • Emergency Medicine Physician
  • Waukon, IA
  • NPI 1235260126

  Multi-Specialty

  Medicare reassignment NPD
• Broussard Counseling Services

  • Clinical Social Worker
  • MC Gregor, IA
  • NPI 1760367502
  NPD Authorized official
• Veterans Memorial Hospital City of Waukon Ia

  • Rural Health Clinic/Center
  • Postville, IA
  • NPI 1417696527

  Multi-Specialty

  NPD
• Crawford County CCS

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Prairie Du Chien, WI
  • NPI 1417333238
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1538880596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3667 MONACO PKWY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802071439",
            "telephone_number": "720-768-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3667 MONACO PKWY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802071439",
            "telephone_number": "720-768-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Brough, MS, OTR/L
• Destiny Lynae Broughton, LSW
• Kristina Brouillette
• Necia Brounty
• Lindsey Broussard
• Kristin Brousseau, D.O.
• Allison Jane Brower, M.S., CCCA, FAAA
• Brown Homecare LLC
• Abigail Moira Brown, LCSW
• Alison J Brown, N.P.

• Clinical Social Worker in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.