Shanden Brutsch, LCSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

124101 Issued in CA

Practice address

PO Box 26
Seal Beach, CA 90740-0026

Phone

(808) 640-3089

NPI assigned

Mar 13, 2024

Last updated

Nov 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Orange County Health Psychologists, Inc.

  • Clinical Psychologist
  • Irvine, CA
  • NPI 1174945554
  Medicare reassignment

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1336907328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907400026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907400026",
            "telephone_number": "808-640-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUTSCH",
        "first_name": "SHANDEN",
        "credential": "LCSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-13",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "124101",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "HI",
            "license": "2968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Martin Braithwaite, D.C.
• Ian Dallas Brodie, MD
• Jessica Ann Brooks, MD
• Kendra Brooks, DDS
• Zhenghong Broyles
• Victoria Bryant, MFT
• Danny Quang Bui
• Lea Burke
• Sofia Carmen Bustillo
• Ronald Byrum

• Social Worker in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.