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

Individual provider Clinical Social Worker · NPI 1295915387

Koni Breaux Bridges, LCSW is a Clinical Social Worker in Lake Charles, Louisiana. Qualified in 1987, 39 years ago. Accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
39
Licensed in
LA
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

108 State St
Lake Charles, LA 70605-5718
Phone: (337) 625-5664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2739 (LA)

Record details

NPI number1295915387
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 6, 2007
Last updated in NPPESFebruary 15, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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