Individual provider Active NPI

Betsy L Reed, LCSW

  • Social Worker
  • Janesville, WI
National Provider Identifier
1194194985
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
128854-121 Issued in WI
Practice address
1820 Center Ave Ste 170
Janesville, WI 53546-2878
Phone
(608) 755-1475
Fax
(608) 755-1733
NPI assigned
Sep 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8374-123 WI
Social Worker 104100000X 128854-121 WI Primary

Addresses

Primary practice location

1820 Center Ave Ste 170
Janesville, WI 53546-2878

Mailing address

203 W Sunny LN
Janesville, WI 53546-9091
Phone (608) 741-4500

Other names 1

  • Betsy L Walls Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20150925001454 WI Practitioner - Clinical Social Worker 8325356223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stateline Mental Health ServicesGroup PAC ID 1658655865, 22 clinicians

Practice addresses (Care Compare)

540 E Grand Ave
Beloit, WI 53511-6314
Phone (608) 368-8087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8374-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stateline Mental Health Services Social Worker CurrentSince Feb 7, 2023 Accepting new patients

Locations

540 E Grand Ave
Beloit, WI 53511
Phone (608) 365-8575

Organizations & group practices 1

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": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1194194985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W SUNNY LN",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535469091",
            "telephone_number": "608-741-4500",
            "fax_number": "608-741-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 CENTER AVE STE 170",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535462878",
            "telephone_number": "608-755-1475",
            "fax_number": "608-755-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "BETSY",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8374-123",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "128854-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "WALLS",
            "middle_name": "L",
            "credential": "APSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Janesville, WI

Sources for this page

Verify at the official NPI Registry.