Bethany Tabetha Stapinski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW20067 Issued in FL

Practice address

420 N Halifax Ave Ste 110
Daytona Beach, FL 32118-4189

Phone

(386) 331-0666

NPI assigned

Sep 24, 2020

Sex

Female

Sole proprietor

No

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 FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1134736259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N HALIFAX AVE STE 110",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184189",
            "telephone_number": "386-331-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N HALIFAX AVE STE 110",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184189",
            "telephone_number": "386-331-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPINSKI",
        "first_name": "BETHANY",
        "middle_name": "TABETHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luther St. James III, M.D.
• Kimberly W Stackpole
• Tyler Jay Staley, M.D.
• Molly Stamper
• Linda L Stanislaw, LMHC
• Eden Star
• Adam Starus, PA
• Kari Stausmire, MD
• Thomas Gerald Stavoy, M.D.
• Kathleen Jenine Steger, APRN

• Clinical Social Worker in Daytona Beach, FL
• Providers in Daytona Beach, 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 Jan 22, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.