Individual provider Active NPI

Betsy Ann Brugler, L.C.S.W.

  • Clinical Social Worker
  • Santa Cruz, CA
National Provider Identifier
1619902152
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 14698 Issued in CA
Practice address
104 S Park Way # B
Santa Cruz, CA 95062-2202
Phone
(831) 429-5151
Fax
(831) 429-5151
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 14698 CA Primary
Social Worker 104100000X LCS 14690 CA

Addresses

Primary practice location

104 S Park Way # B
Santa Cruz, CA 95062-2202

Mailing address

102 Alta Ave
Santa Cruz, CA 95060-6438
Phone (831) 429-5151

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 14690CAMDSocial Worker
LCS 14698CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lionrock Behavioral Health, Inc PastSince Oct 9, 2018 Accepting new patients
Lionrock Behavioral Health, Inc. Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1619902152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ALTA AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950606438",
            "telephone_number": "831-429-5151",
            "fax_number": "831-429-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S PARK WAY # B",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622202",
            "telephone_number": "831-429-5151",
            "fax_number": "831-429-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUGLER",
        "first_name": "BETSY",
        "middle_name": "ANN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 14698",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS 14690",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.