James R Broussard, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

387 Issued in LA

Practice address

203 West Main Street
Suite 101
New Iberia, LA 70560

Phone

(337) 365-7575

Fax

(337) 365-7878

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Broussard Hargrave & Shea LLC

  • Community/Behavioral Health Agency
  • New Iberia, LA
  • NPI 1619191418
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760602288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9685",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "70562",
            "telephone_number": "337-365-7575",
            "fax_number": "337-365-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WEST MAIN STREET",
            "address_2": "SUITE 101",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "70560",
            "telephone_number": "337-365-7575",
            "fax_number": "337-365-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Louise Broussard-Jenkins
• Ajah Broussard
• Carlos A Broussard, CRNA
• Gerald Broussard, R.P.H.
• Harold Joseph Broussard, PA
• Jeremy Broussard, D.C.
• Julie Broussard, RPH
• Lena Broussard
• Magan Broussard
• Paul W Broussard, CRNA

• Clinical Social Worker in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.