Individual provider Active NPI

Bettejane Hepler, LCSW

  • Clinical Social Worker
  • Bowie, MD
National Provider Identifier
1275573545
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
03920 Issued in MD
Practice address
3231 Superior LN
Suite A5
Bowie, MD 20715-1923
Phone
(301) 996-8024
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 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 03920 MD Primary

Addresses

Primary practice location

3231 Superior LN
Suite A5
Bowie, MD 20715-1923

Mailing address

9001 Trubador Dr
Clinton, MD 20735-2483
Phone (301) 996-8024

Other names 1

  • Ms. Bette Hepler Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050817000810 DC Practitioner - Clinical Social Worker 6406886621 Practice locations: Bowie, MD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03920MDMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling & Mentoring Services, Inc Past Accepting new patients
Community Counseling & Mentoring Services,Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1275573545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 TRUBADOR DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352483",
            "telephone_number": "301-996-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 SUPERIOR LN",
            "address_2": "SUITE A5",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151923",
            "telephone_number": "301-996-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPLER",
        "first_name": "BETTEJANE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "03920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETTE",
            "last_name": "HEPLER",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.