MRS. STEPHANIE BROADNAX BROUSSARD (NPI# 1609305952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609305952 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE BROADNAX BROUSSARD |
| Other Name | MRS. STEPHANIE BROADNAX BROUSSARD |
| Credential | LCSW |
| Practice Address |
1751 River Run Ste 200 Fort Worth TX 76107-6670 |
| Mailing Address |
2939 Bahia Grand Prairie TX 75054-5518 |
| Practice Telephone | 6822209890 |
| Mailing Telephone | 6822209890 |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2020-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 57261 | TX | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5801 Oakbend Trl Ste 200, Fort Worth, TX 761323916 | 8175299100 | 8175299106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851597504 | Stephanie L Broussard | Nurse Practitioner | 6410 Fannin St, 500, Houston, TX 77030-3000 | 2007-06-21 |
| Street Address |
1751 RIVER RUN STE 200 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-6670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992172753 | Edward Holt Towns Jr. | Counselor | 1751 River Run Ste 200, Fort Worth, TX 76107-6670 | 2015-08-27 |
| 1114524360 | Lauren Walker | Nutritionist | 1751 River Run Ste 200, Fort Worth, TX 76107-6670 | 2020-10-01 |
| 1922621796 | Tristan's Legacy, Pllc | Counselor | 1751 River Run Ste 200, Fort Worth, TX 76107-6670 | 2020-05-27 |
| 1144869181 | Barbara Ann Buchanan | Marriage & Family Therapist | 1751 River Run Ste 200, Fort Worth, TX 76107-6670 | 2019-12-21 |
| 1982259818 | Lauren-anne D'angelo Nguyen | Hearing Instrument Specialist | 1751 River Run Ste 200, Fort Worth, TX 76107-6670 | 2019-08-07 |
| 1891340386 | Light Bright Counseling Center, Pllc | Counselor | 1751 River Run Ste 200, Fort Worth, TX 76107-6670 | 2019-08-02 |
| 1093369845 | Getting Better Counseling Services, Pllc | Counselor | 1751 River Run Ste 200, Fort Worth, TX 76107-6670 | 2019-07-30 |
| 1194197715 | Michelle Borunda | Social Worker | 1751 River Run Ste 200, Fort Worth, TX 76107-6644 | 2015-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162574 | Adriane Denise Watters | Social Worker | 5648 Comer Dr, Fort Worth, TX 76134-2206 | 2020-10-21 |
| 1578187738 | Glendy Belle Calderon | Social Worker | 6300 Ridglea Pl # 425, Fort Worth, TX 76116-5704 | 2020-06-03 |
| 1851925598 | Kelli Susan Mitchell-wyatt | Social Worker | 6113 Ten Mile Bridge Rd, Fort Worth, TX 76135-1335 | 2020-03-02 |
| 1265063705 | Melissa A White | Social Worker | 901 7th Ave Ste 4124, Fort Worth, TX 76104-2722 | 2020-02-03 |
| 1487285730 | Alejandra Z Solis | Social Worker | 801 7th Ave # 6100, Fort Worth, TX 76104-2733 | 2020-01-27 |
| 1942830880 | Daishai Logan | Social Worker | 6282 Truman Dr, Fort Worth, TX 76112-8042 | 2020-01-20 |
| 1073169652 | Katherine Aultman | Social Worker | 4939 Dexter Ave, Fort Worth, TX 76107-3741 | 2019-08-10 |
| 1346704707 | Jazmin D. Tucker | Social Worker | 1814 8th Ave Ste B7, Fort Worth, TX 76110-1354 | 2019-01-29 |
| 1871001651 | Melissa Kay Miller | Social Worker | 1300 W Rosedale St Ste 8, Fort Worth, TX 76104-2826 | 2018-01-16 |
| 1093238776 | April Dawn Grimes | Social Worker | 8553 N Beach St Ste 378, Fort Worth, TX 76244 | 2017-07-25 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
Please comment or provide details below to improve the information on MRS. STEPHANIE BROADNAX BROUSSARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.