Kira N Bettinger, CSW

Individual provider Active NPI Clinical Social Worker · Hyde Park, UT

NPI 1225540735 · NPPES record last updated Oct 25, 2017

Key facts

NPI
1225540735
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
9454343-3502 (UT)
Practice address
523 N 750 E
Hyde Park, UT 84318-3357
Phone
(435) 917-6777
NPI assigned
Oct 25, 2017
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
9454343-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Solutions Counseling Clinical Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9454343-3502 UT Yes

Addresses

Primary practice location

523 N 750 E
Hyde Park, UT 84318-3357

Mailing address

523 N 750 E
Hyde Park, UT 84318-3357
Phone (435) 915-6777

Other providers in Hyde Park, UT

All providers in Hyde Park, UT · Clinical Social Worker in Utah

Sources for this page

Verify at the official NPI Registry.