Individual provider · Type 1 NPI
Crystal Marie Bettenhausen-Bubulka, HI LCSW 4606
Clinical Social Worker · San Diego, CA
Practice location
1050 Kettner Blvd Ste D
San Diego, CA 92101-3339
Mailing address
941 Orange Ave # 536
Coronado, CA 92118-2609
Other practice locations
- 74 Kihapai St, Kailua, HI 96734-2612 · (808) 319-7896
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 4606 (HI) |
| Clinical Social Worker Primary | 1041C0700X | LCSW100639 (CA) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1790377067
Crystal Marie Bettenhausen-Bubulka, HI LCSW 4606's National Provider Identifier is 1790377067, issued on Feb 9, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Dec 31, 2021.