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CRYSTAL MARIE BETTENHAUSEN-BUBULKA HI LCSW 4606
NPI 1790377067
Social Worker - Clinical in San Diego, CA

Active since February 09, 2021
1050 KETTNER BLVD STE D, SAN DIEGO, CA 92101(808) 319-7896 Get Directions Write a Review

NPPES record last updated: December 31, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 31, 2021, Feb 9, 2021 (2 updates tracked since 2021).

About Crystal Marie Bettenhausen-bubulka Hi Lcsw 4606 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL MARIE BETTENHAUSEN-BUBULKA HI LCSW 4606 (NPI 1790377067) is an individual clinical provider in San Diego, California, licensed in California (LCSW100639) and active in the NPI registry since February 2021. She maintains a secondary practice location in Kailua.

NPPES Registry Identity

NPI1790377067
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCRYSTAL MARIE BETTENHAUSEN-BUBULKACredential: HI LCSW 4606
Location Address1050 KETTNER BLVD STE DSan Diego, CA 92101-3339
Mailing Address941 Orange Ave # 536Coronado, CA 92118-2609 · (808) 319-7896
Phone(808) 319-7896
Sole ProprietorYes
Enumeration DateFebruary 9, 2021
Last NPPES UpdateDecember 31, 20212 updates tracked since enumeration
NPPES CertifiedDecember 31, 2021
✔ NPI 1790377067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · LCSW100639✔ Licensed in HI · 4606
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1050 KETTNER BLVD STE D, San Diego, CA 92101
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Other Names 1

Professional Name (2)Crystal Marie Bettenhausen Hi Lcsw 4606

Secondary Practice Location 1

Location 174 Kihapai StKailua, HI 96734-2612 · Phone (808) 319-7896

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Bettenhausen-bubulka's NPI number?

The NPI number for Crystal Bettenhausen-bubulka is 1790377067. It was assigned to this individual provider in the NPPES registry on February 9, 2021. The provider is also known as Crystal Marie Bettenhausen Hi Lcsw 4606.

Where is Crystal Bettenhausen-bubulka located?

Crystal Bettenhausen-bubulka practices at 1050 Kettner Blvd Ste D, San Diego, CA 92101. The listed phone number is (808) 319-7896.

What is Crystal Bettenhausen-bubulka's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Crystal Bettenhausen-bubulka was last updated on December 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.