Individual provider Active NPI

Joan K Butzen, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1699856468
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS6665 Issued in CA
Practice address
16935 West Bernardo Drive
Suite 145
San Diego, CA 92127-1634
Phone
(858) 485-7027
Fax
(858) 485-7028
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS6665 CA Primary

Addresses

Primary practice location

16935 West Bernardo Drive
Suite 145
San Diego, CA 92127-1634

Mailing address

PO Box 1089
Poway, CA 92074-1089
Phone (858) 485-7027

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCS6665CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1699856468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920741089",
            "telephone_number": "858-485-7027",
            "fax_number": "858-485-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16935 WEST BERNARDO DRIVE",
            "address_2": "SUITE 145",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271634",
            "telephone_number": "858-485-7027",
            "fax_number": "858-485-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTZEN",
        "first_name": "JOAN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS6665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.