Individual provider Active NPI

John Betancourt, LCSW

  • Clinical Social Worker
  • Arcadia, FL
National Provider Identifier
1225564982
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14279 Issued in FL
Practice address
725 N 12TH Ave BLDG B
Arcadia, FL 34266-8752
Phone
(863) 494-1242
NPI assigned
May 2, 2017
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 135283 CA
Clinical Social Worker 1041C0700X 14279 FL Primary

Addresses

Primary practice location

725 N 12TH Ave BLDG B
Arcadia, FL 34266-8752

Mailing address

101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8823
Phone (941) 776-4000

Other practice location 1

1513 SW 2nd Ct
Homestead, FL 33030-6675
Phone (305) 300-0433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220601003042 FL Practitioner - Clinical Social Worker 1557749660 Reassigns benefits to 6 organizations
I20251202002441 CA Practitioner - Clinical Social Worker 1557749660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCR Health IncGroup PAC ID 7214847995, 132 clinicians

Practice addresses (Care Compare)

12271 US Hwy 301 N
Parrish, FL 34219-8410
Phone (941) 713-2231

725 N 12TH Ave
B
Arcadia, FL 34266-8752
Phone (863) 494-1242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14279FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Mental Health CurrentSince Oct 29, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Apr 12, 2023 Accepting new patients
MCR Health, Inc. Multi-Specialty CurrentSince May 17, 2022 Accepting new patients
Dade Family Counseling Community Mental Health Center, Inc Multi-Specialty CurrentSince Feb 1, 2023 Accepting new patients
Mtca Psychological Services P.a. Multi-Specialty CurrentSince Mar 1, 2023 Accepting new patients
Citrus County Rural Health Inc Multi-Specialty CurrentSince Nov 1, 2025 Accepting new patients
MCR Health, Inc. Multi-Specialty CurrentSince May 17, 2022 Accepting new patients
Ace Behavioral Health LLC Multi-Specialty CurrentSince May 1, 2025 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242

2940 NE 207th St
Aventura, FL 33180
Phone (419) 247-2800

101 Riverfront Blvd
Ste 710
Bradenton, FL 34205

927 N Citrus Ave
Crystal River, FL 34428
Phone (352) 404-5588

7091 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 558-2149

1951 NW 17th Ave
Miami, FL 33125
Phone (305) 265-9220

435 NE 34th St
Miami, FL 33137
Phone (305) 573-4337

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

9350 Sunset Dr
Ste 151
Miami, FL 33173
Phone (786) 548-1022

16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

5406 Hoover Blvd
Ste 18
Tampa, FL 33634
Phone (866) 770-4104

1450 Venice East Blvd
Venice, FL 34292
Phone (941) 234-4577

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1225564982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERFRONT BLVD STE 710",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058823",
            "telephone_number": "941-776-4000",
            "fax_number": "941-845-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N 12TH AVE BLDG B",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668752",
            "telephone_number": "863-494-1242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1513 SW 2nd Ct",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330306675",
            "country_code": "US",
            "telephone_number": "305-300-0433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "JOHN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-02",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "135283",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "14279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, FL

Sources for this page

Verify at the official NPI Registry.