Koni Breaux Bridges, LCSW
NPI 1295915387ActiveIndividual· Social Worker, Clinical· Lake Charles, LA
Social Worker, Clinical (LCSW) in Lake Charles, Louisiana, licensed in LA, with an NPI issued in November 2007. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1295915387 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Nov 6, 2007 |
| Last updated in NPPES | Feb 15, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 2739 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (LA) |
|---|
Education and affiliations
| Graduation year | 1987 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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