Individual provider Active NPI

Betty L Edmundson, MSW LISW

  • Social Worker
  • Martins Ferry, OH
National Provider Identifier
1174531073
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0000165 Issued in OH
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

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512000719 WV Practitioner - Clinical Social Worker 3870582950 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000165OHMDSocial Worker
DP00515956WVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
GR&W, Inc CurrentSince Nov 23, 2013 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 PastSince Nov 18, 2025 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.

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

Verify at the official NPI Registry.