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

Mr. Michael Anthony Breaux, LCSW

Individual provider Clinical Social Worker · NPI 1447596457

Mr. Michael Anthony Breaux, LCSW is a Clinical Social Worker in Fort Polk, Louisiana. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Idaho, Louisiana, Missouri and Montana and 1 more.

Years since qualifying
4
Licensed in
ID, LA, MO, MT, TN
In the registry since
2012
Specialties on file
5
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

1585 3rd St Bldg 1170
Fort Polk, LA 71459-5102
Phone: (337) 531-2852
Fax: (337) 531-3025
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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 10225 (LA)
Clinical Social Worker Taxonomy 1041C0700X · Licence BBH-LCSW-LIC-19106 (MT)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW-36892 (ID)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2019003078 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence LSW0000007774 (TN)

Record details

NPI number1447596457
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 19, 2012
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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