MRS. SANDRA S BROUSSARD (NPI# 1891822151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891822151 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA S BROUSSARD |
| Credential | LCSW |
| Practice Address |
2790 N Academy Blvd Ste 206 Colorado Springs CO 80917 |
| Practice Telephone | 7195961530 |
| Practice Fax Number | 7195591130 |
| Mailing Telephone | 7195961530 |
| Mailing Fax Number | 7195591130 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 989473 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 076866 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427689496 | Sandra Lee Broussard | Massage Therapist | 1850 Elm St, Manchester, NH 03104-2911 | 2020-01-29 |
| 1255897351 | Sandra Williams Broussard | Case Manager/Care Coordinator | 1102 Commercial Dr, Hammond, LA 70403-5954 | 2019-02-13 |
| Street Address |
2790 N ACADEMY BLVD STE 206 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114090099 | Gerald Hill Sandeford | Counselor | 2790 N Academy Blvd, Suite 331, Colorado Springs, CO 80917-5337 | 2006-11-16 |
| 1891306361 | Erin Lamb | Physical Therapist | 2790 N Academy Blvd, Colorado Springs, CO 80917-5337 | 2020-08-10 |
| 1114536158 | Melissa Simpleman | Occupational Therapist | 2790 N Academy Blvd, Colorado Springs, CO 80917-5337 | 2020-07-27 |
| 1417577172 | Joelle Colella | Behavior Technician | 2790 N Academy Blvd, Colorado Springs, CO 80917-5337 | 2020-04-23 |
| 1033605589 | A Path To Healing, LLC | Community/Behavioral Health | 2790 N Academy Blvd, Colorado Springs, CO 80917-5337 | 2018-07-09 |
| 1083100077 | Christine Woodling | Physical Therapist | 2790 N Academy Blvd, Colorado Springs, CO 80917-5337 | 2018-07-02 |
| 1679017743 | Ava Mai Solman | Occupational Therapist | 2790 N Academy Blvd, #227, Colorado Springs, CO 80917-5337 | 2016-12-08 |
| 1205378932 | Makenzie Arnold | Behavior Technician | 2790 N Academy Blvd, Colorado Springs, CO 80917-5337 | 2016-11-11 |
| 1629428131 | Tara Walsh | Speech-Language Pathologist | 2790 N Academy Blvd, 227, Colorado Springs, CO 80917-5337 | 2016-06-15 |
| 1699139907 | Laura Bachman | Occupational Therapist | 2790 N Academy Blvd, Suite 227, Colorado Springs, CO 80917-5337 | 2016-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
| 1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
| 1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
| 1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
| 1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
| 1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
| 1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
| 1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
| 1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
| Find all providers in zip 80917 | ||||
| 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 |
|---|---|---|---|---|
| 1750990453 | Carly Renee Rodriguez | Social Worker | 827 Hoosier Dr, Colorado Springs, CO 80916-2032 | 2020-07-28 |
| 1942820758 | Janyll Cintron | Social Worker | 5933 Ware St Apt D, Colorado Springs, CO 80902-2104 | 2020-04-22 |
| 1982242970 | Mission Possible | Social Worker | 1520 N Union Blvd Ste 204, Colorado Springs, CO 80909-2840 | 2019-12-20 |
| 1114580123 | Kyla Catherine Kepson | Social Worker | 2210 E La Salle St Ste 224, Colorado Springs, CO 80909-2303 | 2019-04-16 |
| 1194289363 | Hillary Shey Mooney | Social Worker | 6303 Wetzel Ave Bldg 1526, Colorado Springs, CO 80913-4188 | 2019-01-22 |
| 1013480425 | Carrie Hobaugh | Social Worker | 8775 Boxelder Dr, Colorado Springs, CO 80920-5776 | 2019-01-08 |
| 1386112910 | Karen Elizabeth Jolly | Social Worker | 3645 Jeannine Dr Ste 104, Colorado Springs, CO 80917-8007 | 2018-11-13 |
| 1790252310 | Key Therapy Services | Social Worker | 4830 Rusina Rd Ste B, Colorado Springs, CO 80907-8126 | 2018-11-01 |
| 1891274692 | Elizabeth May Kosofsky | Social Worker | 7673 Safari Cir, Colorado Springs, CO 80920-4004 | 2018-08-13 |
| 1487148805 | Chinna Okoroafor | Social Worker | 1650 Cochrane Cir # 80913, Colorado Springs, CO 80913-4613 | 2018-06-19 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80917 |
Please comment or provide details below to improve the information on MRS. SANDRA S 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.