Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992201172 Individual Practitioner Female Practitioner

Angela Jayne Broussard , LSW

Social Worker • Moraine, OH

Professional Overview & Biography Verified Profile Summary

Angela Broussard, LSW is a registered healthcare professional specializing in Social Worker in Moraine, OH. Practice services are available at 3095 KETTERING BLVD FL 4 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3095 Kettering Blvd Fl 4

Moraine, OH 454391983

Telephone 9372938300
Fax 9379131913
Associated Practice Facility / Clinic
🏢 South Community Inc Facility NPI 1639128176

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Moraine, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
113 Specialists

Practicing in Moraine, OH (11526 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-04-28
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License OH S.2106441

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Holly Vadnais

Case Manager/Care Coordinator

NPI 1003311515
Chadonn Cummings

Social Worker

NPI 1003342692
Elizabeth Liapis , LISW-SUPV

Social Worker - Clinical

NPI 1003350380

LISWSUPV

Kimberly Yates

Case Manager/Care Coordinator

NPI 1003456906
Stephanie Mccutcheon , BGS, QMHS

Case Manager/Care Coordinator

NPI 1003554874
Logan Bruno

Case Manager/Care Coordinator

NPI 1003671546

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated April 28, 2022

Recorded as ANGELA BROUSSARD, LSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2022

Social Worker (License #S.2106441 in OH)

NPI Profile Active April 05, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2018

Registered at 3095 KETTERING BLVD FL 4, MORAINE, OH 454391983 (Tel: 9372938300)

📍
Updated Business Mailing Address April 05, 2018

Registered at 3095 KETTERING BLVD FL 4, MORAINE, OH 454391983 (Tel: 9372938300)

👤
Provider Name / Credentials Updated April 05, 2018

Recorded as ANGELA BROUSSARD, QMHS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2018

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration April 05, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992201172
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2018
Last Update: April 28, 2022
Sole Proprietor: No

Mailing Address

3095 Kettering Blvd Fl 4

Moraine, OH 454391983

Phone: 9372938300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.