Tina N Bethel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008994 Issued in VA

Practice address

300 Ringgold Industrial Pkwy
Danville, VA 24540-5548

Phone

(434) 489-7548

Fax

(434) 215-0572

NPI assigned

May 14, 2015

Last updated

May 29, 2023By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Next Level Counseling and Consultation Services LLC

  • Clinical Social Worker
  • Danville, VA
  • NPI 1508518127
  NPD Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  NPD

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1215315882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RINGGOLD INDUSTRIAL PKWY",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245405548",
            "telephone_number": "434-489-7548",
            "fax_number": "434-215-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RINGGOLD INDUSTRIAL PKWY",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245405548",
            "telephone_number": "434-489-7548",
            "fax_number": "434-215-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETHEL",
        "first_name": "TINA",
        "middle_name": "N",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Danville",
            "affiliation": "N",
            "endpointDescription": "secured email",
            "address_1": "139 Arey Ct",
            "city": "Danville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245414370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kyla K Berreth, D. O.
• Best Home Medical, Inc.
• Charles Bethea, MD
• Darrius Omar Bethel, MBA, MA, LMHP-R
• Jaime Watson Bethel
• Neha Bharaj, MD
• Richard Andrew Bindewald III, LPC
• Kimberly Coates Bird, M.D.
• Mark Allen Bird, MD
• Linda Loraine Bixby, LCSW

• Clinical Social Worker in Danville, VA
• Providers in Danville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; 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.