P Praxis·MD
● Active Type 1 · Individual

Lisa K Broussard, LCSW008306

Social Worker·Jasper, GA· NPI 1952045338 · Enumerated 2022 · 4 years on NPI
Broussard is 1 of 15 social worker providers in Jasper and 1 of 5654 in Georgia.
NPI age
4 years
Enumerated 2022-04-22
Primary specialty
Social Worker
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-07-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5654 active social worker providers in Georgia.

NPI age
4 years
↓ 5 yr below median (9 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 19% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-04Enumerated in NPPES
2022 2026

Where they practice

Practice location
27 S Main St
Jasper, GA 301431600
📞 6782305164
Mailing address
27 S Main St
Jasper, GA 301431600
📞 6782305164

Specialties

  • Social Worker Primary
    A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
    GA license #CSW008306 taxonomy 1041C0700X
  • Counselor
    Definition to come...
    GA license #LMSW009255 taxonomy 101YM0800X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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