Individual provider Active NPI

Betty J Smith, LCSW

  • Clinical Social Worker
  • Oil City, PA
National Provider Identifier
1073846713
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013299 Issued in PA
Practice address
811 Grandview Rd Ste 100
Oil City, PA 16301-2077
Phone
(814) 670-7950
Fax
(814) 670-7951
NPI assigned
Sep 14, 2009
Last updated
Sep 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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 CW013299 PA Primary

Addresses

Primary practice location

811 Grandview Rd Ste 100
Oil City, PA 16301-2077

Mailing address

100 Shenango Ave
Sharon, PA 16146-1503
Phone (814) 670-7950

Other practice location 1

19 E Front St
Oil City, PA 16301-2363
Phone (814) 678-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120814000075 PA Practitioner - Clinical Social Worker 2062668692 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW013299PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince Oct 2, 2023 Accepting new patients
Primary Health Network CurrentSince Oct 2, 2023 Accepting new patients

Locations

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

811 Grandview Rd
Ste 100
Oil City, PA 16301
Phone (814) 670-7950

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

100 Shenango Ave
Sharon, PA 16146
Phone (724) 704-8886

120 S Martin St
Titusville, PA 16354
Phone (814) 827-8400

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1073846713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHENANGO AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461503",
            "telephone_number": "814-670-7950",
            "fax_number": "814-670-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 GRANDVIEW RD STE 100",
            "city": "OIL CITY",
            "state": "PA",
            "postal_code": "163012077",
            "telephone_number": "814-670-7950",
            "fax_number": "814-670-7951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 E Front St",
            "address_purpose": "LOCATION",
            "city": "Oil City",
            "state": "PA",
            "postal_code": "163012363",
            "country_code": "US",
            "telephone_number": "814-678-6900",
            "fax_number": "814-678-6902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BETTY",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oil City, PA

Sources for this page

Verify at the official NPI Registry.