Bethany Lynn Crunelle, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114405 Issued in CA

Practice address

200 Commercial St
Nevada City, CA 95959-2507

Phone

(530) 600-6506

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bethany Crunelle Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1467541649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959590055",
            "telephone_number": "530-600-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COMMERCIAL ST",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592507",
            "telephone_number": "530-600-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUNELLE",
        "first_name": "BETHANY",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "114405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "CRUNELLE",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Helen Crawford, MD
• Charles Craig Creasey
• Jean Louise Creasey, D.D.S.
• Ilene L Cristdahl, MD LAC
• Erin Crow
• Ann C Cullinan, CADCII
• Laura Lynn Cummins, BSW
• Tara Ashley Cummiskey
• Amy Cunag
• Pele Tua Cunningham

• Clinical Social Worker in Nevada City, CA
• Providers in Nevada City, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.