Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Jayne Broussard, LSW

Individual provider Social Worker · NPI 1992201172

Angela Jayne Broussard, LSW is a Social Worker in Moraine, Ohio. Licensed in Ohio. Registered with an NPI since 2018.

Licensed in
OH
In the registry since
2018
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3095 Kettering Blvd Fl 4
Moraine, OH 45439-1983
Phone: (937) 293-8300
Fax: (937) 913-1913
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence S.2106441 (OH)

Record details

NPI number1992201172
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedApril 5, 2018
Last updated in NPPESApril 28, 2022
Certification dateApril 28, 2022

Other providers in Moraine