Individual provider Active NPI

Betty J Warden, LCSW

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1245241397
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L3785 Issued in OR
Practice address
2052 NE 4TH St
Bend, OR 97701-3825
Phone
(541) 383-2004
Fax
(541) 322-4760
NPI assigned
Aug 11, 2006
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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 L3785 OR Primary

Addresses

Primary practice location

2052 NE 4TH St
Bend, OR 97701-3825

Mailing address

2052 NE 4TH St
Bend, OR 97701-3825
Phone (541) 383-2004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20061104000046 OR Practitioner - Clinical Social Worker 1850398819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2052 NE 4TH St
Bend, OR 97701-3825
Phone (541) 390-1181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Resolutions Creative Conflict Management, Inc Clinical CurrentSince Oct 22, 2007 Accepting new patients
Judy Rotondi LLC Clinical PastSince Dec 1, 2008 Accepting new patients

Locations

2052 NE 4th St
Bend, OR 97701
Phone (541) 280-2789

754 NW Broadway St
Ste 203
Bend, OR 97703
Phone (458) 206-0812

Organizations & group practices 2

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1245241397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 NE 4TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013825",
            "telephone_number": "541-383-2004",
            "fax_number": "541-322-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 NE 4TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013825",
            "telephone_number": "541-383-2004",
            "fax_number": "541-322-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDEN",
        "first_name": "BETTY",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.