Individual provider Active NPI

Carli Betman, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1063270940
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
113744 Issued in NY
Practice address
352 7TH Ave FL 12a
New York, NY 10001-5893
Phone
(646) 930-0457
NPI assigned
Mar 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 113744 NY Primary

Addresses

Primary practice location

352 7TH Ave FL 12a
New York, NY 10001-5893

Mailing address

127 E 30TH St Apt 11C
New York, NY 10016-7362
Phone (847) 707-7436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260129002505 NY Order and Referring Only - Clinical Social Worker 5395223507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113744NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1063270940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E 30TH ST APT 11C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167362",
            "telephone_number": "847-707-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 7TH AVE FL 12A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015893",
            "telephone_number": "646-930-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETMAN",
        "first_name": "CARLI",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "113744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.