Active NPI
Betty H Struzick, MSW
- Clinical Social Worker
- Murfreesboro, TN
National Provider Identifier
1225087232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PIP04780361C
- Practice address
- 2900 Lebanon Pike
Murfreesboro, TN 37129 - Phone
- (615) 867-6000
- NPI assigned
- May 8, 2006
- 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 | PIP04780361C | AL | Primary |
Addresses
Primary practice location
2900 Lebanon Pike
Murfreesboro, TN 37129
Mailing address
2342 N Tennessee Blvd Apt 605
Murfreesboro, TN 37130-4538
Phone (205) 902-5082
Other practice location 1
3565 Lorna Ridge Drive
c/o MGG Counseling Services
Birmingham, AL 35216
Phone (205) 902-5082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051501299 | Other | AL | BCBS OF AL |
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 |
|---|---|---|---|
| PIP04780361C | AL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551225600000",
"number": "1225087232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2342 N TENNESSEE BLVD APT 605",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371304538",
"telephone_number": "205-902-5082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 LEBANON PIKE",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "37129",
"telephone_number": "615-867-6000"
}
],
"practiceLocations": [
{
"address_1": "3565 Lorna Ridge Drive",
"address_2": "c/o MGG Counseling Services",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "35216",
"country_code": "US",
"telephone_number": "205-902-5082",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STRUZICK",
"first_name": "BETTY",
"middle_name": "H",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2019-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "PIP04780361C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "051501299",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.