Individual provider Active NPI

Bette A Landis, LCSW

  • Clinical Social Worker
  • Lancaster, PA
National Provider Identifier
1215967310
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014932 Issued in PA
Practice address
1689 Crown Ave
Suite 4
Lancaster, PA 17601-6314
Phone
(717) 560-4443
Fax
(717) 299-0875
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW014932 PA Primary

Addresses

Primary practice location

1689 Crown Ave
Suite 4
Lancaster, PA 17601-6314

Mailing address

1747 Santa Barbara Dr
Lancaster, PA 17601-4121
Phone (717) 560-4443

Other identifiers 1

IdentifierTypeStateIssuer
1549616MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050408000815 PA Practitioner - Clinical Social Worker 1153368436 Practice locations: Lancaster, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1525 Oregon Pike
Suite 1401
Lancaster, PA 17601-4376
Phone (717) 560-4443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW014932PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Therapy Services, LLC Past Accepting new patients
Elderly Care Counseling Services LLC Past Accepting new patients
Philhaven Past Accepting new patients

Organizations & group practices 3

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1215967310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 SANTA BARBARA DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014121",
            "telephone_number": "717-560-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 CROWN AVE",
            "address_2": "SUITE 4",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016314",
            "telephone_number": "717-560-4443",
            "fax_number": "717-299-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "BETTE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1549616",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.