Bebe Brezanin-Brusky, LCSW
Individual provider Active NPI Clinical Social Worker · Bound Brook, NJ
NPI 1346572104 · NPPES record last updated Feb 4, 2010
Key facts
- NPI
- 1346572104
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC04680900 (NJ)
- Practice address
- 339 W 2ND St
Bound Brook, NJ 08805-1833 - Phone
- (732) 356-1082
- Fax
- (732) 356-6327
- NPI assigned
- Feb 4, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3322 Route 22 W
Building 4 Suite 419
Branchburg, NJ 08876-3394
Phone (908) 208-2119
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190904000108 | NJ | Practitioner - Clinical Social Worker | 6406185388 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC04680900 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC04680900 | NJ | Yes |
Addresses
Primary practice location
339 W 2ND St
Bound Brook, NJ 08805-1833
Mailing address
339 W 2ND St
Bound Brook, NJ 08805-1833
Phone (732) 356-1082
Other providers in Bound Brook, NJ
- Bound Brook Rescue Squad, Inc.
- Bound Brook School District
- Myasia Monai Bradshaw
- Breakthrough Behavior Services LLC
- James Hamilton Bremner
- Brook Dental Associates PA
- Davey Anthony Bumbaco
- Doris Isolde Burns
- Tina Marie Butler
- William M Byra
All providers in Bound Brook, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.