Marijke L Brutsaert, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7564 Issued in OR

Practice address

744 NW 4TH St
Corvallis, OR 97330-6415

Phone

(541) 231-3439

NPI assigned

Dec 9, 2013

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

• Mary Brutsaert Professional name

Medicare fee-for-service enrollment

Enrolled in OR

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• 50 Joys Counseling, LLC

  • Clinical Social Worker
  • Corvallis, OR
  • NPI 1437873296
  Medicare reassignment NPD Authorized official
• Alison Roffman LCSW LLC

  • Clinical Social Worker
  • Corvallis, OR
  • NPI 1568126100

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563580800000",
    "number": "1801227384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 NE GRANGER AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973309672",
            "telephone_number": "541-231-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 NW 4TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306415",
            "telephone_number": "541-231-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUTSAERT",
        "first_name": "MARIJKE",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2019-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "7564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BRUTSAERT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mary Elizabeth Bruch, REGISTERED NURSE
• Brune Dermatology, LLC
• Adriana M. Brune, MD
• Rachel K Bruner
• Payton Alec Bruton
• Kadi-Ann Bryan, MD
• Kimberly Ann Bryan, RPH
• Pete Bryant, STUDENT
• Zach Bryant
• Noah Tyler Bryce

• Clinical Social Worker in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2019; 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.