Active NPI
Bettye B Zablotny, LCSW-C
- Clinical Social Worker
- Leesburg, VA
National Provider Identifier
1174670772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904002952
- Practice address
- 274 Ariel Dr NE
Leesburg, VA 20176-2202 - Phone
- (703) 481-8955
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904002952 | VA | Primary |
| Clinical Social Worker | 1041C0700X | 06593 | MD |
Addresses
Primary practice location
274 Ariel Dr NE
Leesburg, VA 20176-2202
Mailing address
274 Ariel Dr NE
Leesburg, VA 20176-2202
Phone (703) 481-8955
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IPO88082 | Other | VA | MAGELLAN BEHAVIORAL HEALT |
| 334390 | Other | VA | ANTHEM |
| 082509 | Other | VA | VALUEOPTIONS |
| 125918 | Other | VA | VALUEOPTIONS NORTHEAST |
| 8912700 | Medicaid | VA | |
| 248819000 | Other | VA | MAGELLAN |
| 334390 | Other | VA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06593 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385510400000",
"number": "1174670772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "274 ARIEL DR NE",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201762202",
"telephone_number": "703-481-8955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "274 ARIEL DR NE",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201762202",
"telephone_number": "703-481-8955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZABLOTNY",
"first_name": "BETTYE",
"middle_name": "B",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2013-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904002952",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "06593",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "IPO88082",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "334390",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "082509",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS NORTHEAST",
"identifier": "125918",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8912700",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "248819000",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "334390",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.