Active NPI
Barbara Bennett Broyles, LCSW 3462
- Clinical Social Worker
- Baton Rouge, LA
National Provider Identifier
1558548271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3462
- Practice address
- 8017 Jefferson Hwy
Suite C-1
Baton Rouge, LA 70809-1681 - Phone
- (225) 924-3351
- NPI assigned
- Jan 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3462 | LA | Primary |
Addresses
Primary practice location
8017 Jefferson Hwy
Suite C-1
Baton Rouge, LA 70809-1681
Mailing address
8017 Jefferson Hwy
Suite C-1
Baton Rouge, LA 70809-1681
Phone (225) 924-3351
Other names 1
- Bobbie Faith Bennett Broyles
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3462 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1558548271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8017 JEFFERSON HWY",
"address_2": "SUITE C-1",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708091681",
"telephone_number": "225-924-3351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8017 JEFFERSON HWY",
"address_2": "SUITE C-1",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708091681",
"telephone_number": "225-924-3351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROYLES",
"first_name": "BARBARA",
"middle_name": "BENNETT",
"credential": "LCSW 3462",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-24",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "3462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BOBBIE",
"last_name": "BROYLES",
"middle_name": "FAITH BENNETT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.