Active NPI
April M Broussard, LCSW
- Clinical Social Worker
- Murfreesboro, TN
National Provider Identifier
1811286727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5249
- Practice address
- 567 Cason LN
Suite a
Murfreesboro, TN 37128-4821 - Phone
- (615) 680-9822
- Fax
- (615) 494-1145
- NPI assigned
- Mar 31, 2011
- 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 | 5249 | TN | Primary |
Addresses
Primary practice location
567 Cason LN
Suite a
Murfreesboro, TN 37128-4821
Mailing address
1502 Auldridge Dr
Christiana, TN 37037-6622
Phone (615) 427-2997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103I808289 | Other | TN | MEDICARE PTAN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5249 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334534400000",
"number": "1811286727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 AULDRIDGE DR",
"city": "CHRISTIANA",
"state": "TN",
"postal_code": "370376622",
"telephone_number": "615-427-2997",
"fax_number": "615-494-1145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "567 CASON LN",
"address_2": "SUITE A",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371284821",
"telephone_number": "615-680-9822",
"fax_number": "615-494-1145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUSSARD",
"first_name": "APRIL",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-31",
"last_updated": "2012-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "5249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "103I808289",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.