Individual provider Active NPI

Virginia Mercedes Betancourt Olivarez, LMSW

  • Clinical Social Worker
  • Bay City, MI
National Provider Identifier
1043784572
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1217 S Euclid Ave
Bay City, MI 48706-3311
Phone
(989) 667-9661
NPI assigned
Jan 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1217 S Euclid Ave
Bay City, MI 48706-3311

Mailing address

1000 Houghton Ave
Saginaw, MI 48602-5303
Phone (989) 746-7952

Other practice location 1

3323 Shattuck Rd Ste 1
Saginaw, MI 48603-3184
Phone (989) 475-4171

Other practice location 2

300 Saint Andrews Rd
Saginaw, MI 48638-5977
Phone (989) 401-9020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241105001788 MI Practitioner - Clinical Social Worker 4981138591 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saginaw Cooperative Hospitals, Inc Current Accepting new patients
McDowell Healing Arts Center LLC Clinical PastSince Apr 1, 2021 Accepting new patients
ABA Pathways, LLC PastSince Sep 18, 2019 Accepting new patients
Enhanced Behavioral Respite Inc. PastSince Mar 22, 2020 Accepting new patients

Locations

3201 Hallmark Ct
Saginaw, MI 48603
Phone (989) 790-5989

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1043784572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HOUGHTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025303",
            "telephone_number": "989-746-7952",
            "fax_number": "989-746-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 S EUCLID AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063311",
            "telephone_number": "989-667-9661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3323 Shattuck Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486033184",
            "country_code": "US",
            "telephone_number": "989-475-4171",
            "fax_number": "989-393-6021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Saint Andrews Rd",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486385977",
            "country_code": "US",
            "telephone_number": "989-401-9020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETANCOURT OLIVAREZ",
        "first_name": "VIRGINIA",
        "middle_name": "MERCEDES",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.