Bethany Waite, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

093754 Issued in NY

Practice address

16 Ampersand Dr
Plattsburgh, NY 12901-6500

Phone

(518) 565-4060

Fax

(518) 566-0168

NPI assigned

Jan 28, 2016

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 NY

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

Medicare enrollment (NPD)

Enrolled

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.

• Clinton County

  • Mental Health Counselor
  • Plattsburgh, NY
  • NPI 1164465902
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  NY

  Medicare reassignment
• Clinton County

  • Clinic/Center
  • Plattsburgh, NY
  • NPI 1114979945
  NPD

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1174980684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 AMPERSAND DR",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016500",
            "telephone_number": "518-565-4060",
            "fax_number": "518-566-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 AMPERSAND DR",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016500",
            "telephone_number": "518-565-4060",
            "fax_number": "518-566-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "BETHANY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "093754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CHI Kim Vu, D.D.S.
• Rajiv Pradeep Vyas, MD
• Roberta Lynn Wacker-Mundy, PHD
• David B. Wagar, MD
• Madeline Waid, M.D.
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP.
• Walgreen Co
• Walgreen Co
• Walgreen Co

• Social Worker in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.