Michelle Lynn Bettin, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14164 Issued in MN

Practice address

1511 E Minnesota St # 6
Saint Joseph, MN 56374-8618

Phone

(320) 200-7252

NPI assigned

Jul 11, 2016

Last updated

Apr 11, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bettin Counseling

  • Clinical Social Worker
  • Saint Joseph, MN
  • NPI 1083130488
  Medicare reassignment Authorized official
• St. Cloud Hospital

  • Rehabilitation Hospital Unit
  • Saint Cloud, MN
  • NPI 1619934627
  NPD (past)

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1073965430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 SIERRA LN",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031174",
            "telephone_number": "320-293-4341",
            "fax_number": "320-200-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 E MINNESOTA ST # 6",
            "city": "SAINT JOSEPH",
            "state": "MN",
            "postal_code": "563748618",
            "telephone_number": "320-200-7252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 CentraCare Circle #2475",
            "address_2": "CentraCare Health Plaza Adult Behavioral Health",
            "address_purpose": "LOCATION",
            "city": "St Cloud",
            "state": "MH",
            "postal_code": "563035000",
            "country_code": "US",
            "telephone_number": "320-229-4977",
            "fax_number": "320-229-5109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETTIN",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "MSW LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "14164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela M Larcom LLC (Angela Larcom Counseling)
• Arlington Place Assisted Living
• Barbara Ann Bautch-Smallbrock
• Amanda Beninga
• Bettin Counseling
• Gerard L Bobeldyk, MD
• Kenneth J Breker, MD
• Rebecca Breth
• Brittany a Phelps LLC
• Rachel Brothers, PA-C

• Clinical Social Worker in Saint Joseph, MN
• Providers in Saint Joseph, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.