Kirsten Brutzman-Livak
Individual provider Active NPI Clinical Social Worker · Truckee, CA
NPI 1922556091 · NPPES record last updated Sep 16, 2016
Key facts
- NPI
- 1922556091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 29893 (CA)
- Practice address
- 13406 Donner Pass Rd
Truckee, CA 96161-3822 - Phone
- (530) 448-6795
- NPI assigned
- Sep 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 29893 | CA | Yes |
Addresses
Primary practice location
13406 Donner Pass Rd
Truckee, CA 96161-3822
Mailing address
PO Box 2874
Olympic Valley, CA 96146-2874
Other providers in Truckee, CA
- Deborah Ann Brown
- Dorothy Marie Brown
- Laura Brown
- Grant Anderson Brownell
- Brianna Brownfield
- Daniel Gordon Buchanan
- Lisanne Ryner Burkholder
- Laura Jane Burley
- C. Gregory Jellinek, M.D., a Medical Corporation
- Carissa Giordani Cahill
All providers in Truckee, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.