Bethany Kleinhans, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW23706 Issued in FL

Practice address

1301 Plantation Island Dr S Ste 206a
Saint Augustine, FL 32080-3111

Phone

(904) 420-0580

NPI assigned

Nov 4, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bethany Zrucky Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1053134643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 LOW TIDE LOOP",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320802307",
            "telephone_number": "507-272-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DR S STE 206A",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320803111",
            "telephone_number": "904-420-0580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Health Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Augustine",
            "state": "FL",
            "postal_code": "320865784",
            "country_code": "US",
            "telephone_number": "904-819-4039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEINHANS",
        "first_name": "BETHANY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "ZRUCKY",
            "credential": "RCSWI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kjcares Suportive Living Services
• Emma Kleckner, DNP
• Ethan Klein, PTA
• Kathryn Klein, OTR/L
• Samuel Klein
• Kellian L Klipstine, L.M.H.C.
• Marta Klisinska, MD
• Kori Kloostra
• Alexander Knaub
• Mary Christine Knepton, LMT

• Clinical Social Worker in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.