Kirsten Brutzman-Livak
Social Worker, Clinical in Truckee, CA. Individual provider (NPI-1).
NPI number1922556091
StatusActive
Last updated in NPPESSep 16, 2016
Details
- NPI
- 1922556091
- Entity type
- Individual (NPI-1)
- Name
- Kirsten Brutzman-Livak
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2016
- Last updated
- Sep 16, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 29893 | CA | Yes |
Practice location
13406 Donner Pass RdTruckee, CA 96161-3822
Phone 530-448-6795
Mailing address
Po Box 2874Olympic Valley, CA 96146-2874
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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