Amber Hebert, LCSW

Individual provider Active NPI Clinical Social Worker · Broussard, LA

NPI 1801048848 · NPPES record last updated Nov 1, 2022

Key facts

NPI
1801048848
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
8263 (LA)
Practice address
120 Park Center Dr
Broussard, LA 70518-3605
Phone
(337) 504-4279
NPI assigned
Oct 22, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
8263LAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8263 LA Yes

Addresses

Primary practice location

120 Park Center Dr
Broussard, LA 70518-3605

Mailing address

1025 E Ocean Ave Ste B
Lompoc, CA 93436-7088
Phone (337) 352-1085

Other practice location 1

1025 E Ocean Ave Ste B
Lompoc, CA 93436-7088
Phone (337) 352-1085

Other providers in Broussard, LA

All providers in Broussard, LA · Clinical Social Worker in Louisiana

Sources for this page

Verify at the official NPI Registry.