Active NPI
Michelle Brusic, LCSW-R
- Clinical Social Worker
- Albany, NY
National Provider Identifier
1225197783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R044145-1
- Practice address
- 251 New Karner Rd
Albany, NY 12205-4627 - Phone
- (518) 339-5595
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 | R044145-1 | NY | Primary |
Addresses
Primary practice location
251 New Karner Rd
Albany, NY 12205-4627
Mailing address
55 Devon Rd
Delmar, NY 12054-3505
Phone (518) 339-5595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210831000555 | NY | Practitioner - Clinical Social Worker | 1052717071 | Practice locations: Albany, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R044145-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1225197783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 DEVON RD",
"city": "DELMAR",
"state": "NY",
"postal_code": "120543505",
"telephone_number": "518-339-5595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 NEW KARNER RD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122054627",
"telephone_number": "518-339-5595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUSIC",
"first_name": "MICHELLE",
"credential": "LCSW-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R044145-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.