Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Crystal Marie Bettenhausen-Bubulka, HILCSW4606

Individual provider Clinical Social Worker · NPI 1790377067

Crystal Marie Bettenhausen-Bubulka, HILCSW4606 is a Clinical Social Worker in San Diego, California. Practices as a sole proprietor and works from 2 locations. Licensed in California and Hawaii.

Licensed in
CA, HI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1050 Kettner Blvd Ste D
San Diego, CA 92101-3339
Phone: (808) 319-7896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 74 Kihapai St, Kailua, HI 96734-2612 — (808) 319-7896

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW100639 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 4606 (HI)

Record details

NPI number1790377067
Entity typeIndividual (Type 1)
GenderFemale
Credentials HILCSW4606
Sole proprietorYes
NPI enumeratedFebruary 9, 2021
Last updated in NPPESDecember 31, 2021
Certification dateDecember 31, 2021

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