Individual provider Active NPI

Amy Brus, LCSW

  • Clinical Social Worker
  • Woodburn, OR
National Provider Identifier
1104299288
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L15904 Issued in OR
Practice address
1310 Meridian Dr
Woodburn, OR 97071-9668
Phone
(503) 953-0310
NPI assigned
Nov 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-974 WY
Clinical Social Worker 1041C0700X L15904 OR Primary
Clinical Social Worker 1041C0700X LC19714 ME

Addresses

Primary practice location

1310 Meridian Dr
Woodburn, OR 97071-9668

Mailing address

7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014
Phone (541) 904-5216

Other practice location 1

268 Stillwater Ave
Bangor, ME 04401-3945
Phone (207) 973-6100

Other practice location 2

1430 Wilkins Cir
Casper, WY 82601
Phone (307) 237-9583

Other names 1

  • Amy Brus Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, SD, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180925003101 WY Practitioner - Clinical Social Worker 4385995620 Reassigns benefits to 1 organization
I20230214003132 SD Practitioner - Clinical Social Worker 4385995620 Reassigns benefits to 1 organization
I20250110002215 OR Practitioner - Clinical Social Worker 4385995620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightways Counseling Group LLCGroup PAC ID 4688907827, 36 clinicians

Practice addresses (Care Compare)

1310 Meridian Dr
Woodburn, OR 97071-9668
Phone (503) 953-0310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L15904ORMDClinical Social Worker
LCSW-974WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Central Wyoming Counseling Center Current Accepting new patients
Central Wyoming Counseling Center CurrentSince Jul 23, 2018 Accepting new patients
Brightways Counseling Group LLC Clinical CurrentSince Jan 1, 2025 Accepting new patients
Avera McKennan Current Accepting new patients
Bright Horizons Psychiatric Group LLC CurrentSince Apr 20, 2025 Accepting new patients
Avera McKennan CurrentSince Nov 28, 2022 Accepting new patients
Avera McKennan CurrentSince Nov 28, 2022 Accepting new patients

Locations

7515 Falcon Crest Dr
#200
Redmond, OR 97756

2555 Silverton Rd NE
Salem, OR 97301
Phone (503) 393-4273

1310 Meridian Dr
Woodburn, OR 97071
Phone (503) 509-8414

3932 S Western Ave
Sioux Falls, SD 57105
Phone (605) 322-6408

1430 Wilkins Cir
Casper, WY 82601
Phone (307) 237-9583

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1104299288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 FALCON CREST DR # 200",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977565014",
            "telephone_number": "541-904-5216",
            "fax_number": "541-527-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 MERIDIAN DR",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970719668",
            "telephone_number": "503-953-0310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "268 Stillwater Ave",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044013945",
            "country_code": "US",
            "telephone_number": "207-973-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1430 Wilkins Cir",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "82601",
            "country_code": "US",
            "telephone_number": "307-237-9583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUS",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-974",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L15904",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC19714",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BRUS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodburn, OR

Sources for this page

Verify at the official NPI Registry.