Active NPI
Betty L Edmundson, MSW LISW
- Social Worker
- Martins Ferry, OH
National Provider Identifier
1174531073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0000165
- Practice address
- 500 Mackey Ave
Belmont Psychiatric Services
Martins Ferry, OH 43935 - Phone
- (740) 635-7792
- Fax
- (740) 635-7755
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0000165 | OH | Primary |
| Social Worker | 104100000X | DP00515956 | WV |
Addresses
Primary practice location
500 Mackey Ave
Belmont Psychiatric Services
Martins Ferry, OH 43935
Mailing address
500 Mackey Ave
Belmont Psychiatric Services
Martins Ferry, OH 43935
Phone (740) 635-7792
Other names 1
- B L Edmundson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000165 | OH | MD | Social Worker |
| DP00515956 | WV | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GR&W, Inc | Current | Accepting new patients | |
| Park Valley Behavioral Health Care, PLLC | Past | Accepting new patients | |
| Ohio Valley Medical Center Inc | Past | Accepting new patients | |
| Neopath Diagnostics PLLC | Past | Accepting new patients | |
| GR&W, Inc | Past | Accepting new patients |
Locations
1005 White Willow Way
Morgantown, WV 26505
Phone (304) 212-7238
1100 Main St
Ste 104
Wheeling, WV 26003
Phone (304) 443-1414
Organizations & group practices 5
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.
-
- Clinical Neuropsychologist
- Morgantown, WV
- NPI 1407192024
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Morgantown, WV
- NPI 1992665723
-
- Anatomic Pathology & Clinical Pathology Physician
- Wheeling, WV
- NPI 1346776705
-
- Anesthesiology Physician
- Wheeling, WV
- NPI 1891750642
-
- Psychiatry Physician
- Wheeling, WV
- NPI 1457357261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174531073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 MACKEY AVE",
"address_2": "BELMONT PSYCHIATRIC SERVICES",
"city": "MARTINS FERRY",
"state": "OH",
"postal_code": "43935",
"telephone_number": "740-635-7792",
"fax_number": "740-635-7755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MACKEY AVE",
"address_2": "BELMONT PSYCHIATRIC SERVICES",
"city": "MARTINS FERRY",
"state": "OH",
"postal_code": "43935",
"telephone_number": "740-635-7792",
"fax_number": "740-635-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMUNDSON",
"first_name": "BETTY",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MSW LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "0000165",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "DP00515956",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "B",
"last_name": "EDMUNDSON",
"middle_name": "L",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Martins Ferry, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.