Individual provider Active NPI

Paula R. Betts-Redmond, L.C.S.W.

  • Clinical Social Worker
  • Bedford, PA
National Provider Identifier
1144298035
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015225 Issued in PA
Practice address
321 S Richard St
Bedford, PA 15522-1745
Phone
(814) 623-2191
Fax
(814) 623-2192
NPI assigned
Mar 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 CW015225 PA Primary

Addresses

Primary practice location

321 S Richard St
Bedford, PA 15522-1745

Mailing address

395 Quarry Rd
New Paris, PA 15554-8031
Phone (814) 839-2336

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
I20060327000230 PA Practitioner - Clinical Social Worker 1850309212 Practice locations: Bedford, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 E Penn St
Bedford, PA 15522-1313
Phone (814) 285-1808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW015225PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144298035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 QUARRY RD",
            "city": "NEW PARIS",
            "state": "PA",
            "postal_code": "155548031",
            "telephone_number": "814-839-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S RICHARD ST",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155221745",
            "telephone_number": "814-623-2191",
            "fax_number": "814-623-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTS-REDMOND",
        "first_name": "PAULA",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, PA

Sources for this page

Verify at the official NPI Registry.