Amanda Lee Bruscino, MSW

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

9239 Gross Point Rd
Suite 300
Skokie, IL 60077-1389

Phone

(847) 676-4447

Fax

(847) 676-4450

NPI assigned

Aug 18, 2011

Last updated

Aug 18, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 18, 2022 through Jul 18, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Contextual Change

  • Clinical Social Worker
  • Skokie, IL
  • NPI 1659382521

  Counselor

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1013297381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9239 GROSS POINT RD",
            "address_2": "SUITE 300",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771389",
            "telephone_number": "847-676-4447",
            "fax_number": "847-676-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9239 GROSS POINT RD",
            "address_2": "SUITE 300",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771389",
            "telephone_number": "847-676-4447",
            "fax_number": "847-676-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSCINO",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Martyniak Brown, M.S., BCBA
• Rachel Brown, PA-C
• Sara F Brown, M.A., CCC-SLP
• Jessie Brownstein, RD
• Virginia Lee Brubaker, MA, LCPC
• Tom Bryant, D.C.
• Natalia Izabela Brzezinski, DMD
• Theresa Marie Buch, LCPC
• Alan Buchman, MD
• Olivia Buechner, OTR/L

• Counselor in Skokie, IL
• Providers in Skokie, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.