Individual provider Active NPI

Betty H Struzick, MSW

  • Clinical Social Worker
  • Murfreesboro, TN
National Provider Identifier
1225087232
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PIP04780361C Issued in AL
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

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
051501299OtherALBCBS 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

LicenseStateTypeSpecialty
PIP04780361CALMDClinical 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.

Verify at the official NPI Registry.