Active NPI
Karen A. Busch, L.C.S.W.
- Clinical Social Worker
- Newport Beach, CA
National Provider Identifier
1033232202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4099
- Practice address
- 1151 Dove St Ste 285
Newport Beach, CA 92660-2843 - Phone
- (949) 752-8550
- Fax
- (949) 640-6643
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4099 | CA | Primary |
Addresses
Primary practice location
1151 Dove St Ste 285
Newport Beach, CA 92660-2843
Mailing address
1151 Dove St Ste 285
Newport Beach, CA 92660-2843
Phone (949) 752-8550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4099 | Other | CA | L.C.S.W. LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4099 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033232202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 DOVE ST STE 285",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602843",
"telephone_number": "949-752-8550",
"fax_number": "949-640-6643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 DOVE ST STE 285",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602843",
"telephone_number": "949-752-8550",
"fax_number": "949-640-6643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSCH",
"first_name": "KAREN",
"middle_name": "A.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "4099",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L.C.S.W. LICENSE NUMBER",
"identifier": "4099",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.