Tanoa Bettis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05572000 Issued in NJ

Practice address

4009 Black Horse Pike
Mays Landing, NJ 08330

Phone

(215) 590-7555

Fax

(215) 590-7387

NPI assigned

Feb 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Therapeutic Self Care

  • Mental Health Counselor
  • Galloway, NJ
  • NPI 1255251377
  NPD (past)

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1275924334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 BLACK HORSE PIKE",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "08330",
            "telephone_number": "215-590-7555",
            "fax_number": "215-590-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 BLACK HORSE PIKE",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "08330",
            "telephone_number": "215-590-7555",
            "fax_number": "215-590-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTIS",
        "first_name": "TANOA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05572000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy K Begley, LCSW
• Linda Benner, PMHNP-BC
• Erika Bennett
• Benton Perryman Associates
• Best Friends Veterinary Hospital LLC
• Jessica-Rae Beyer, LMT
• Julie Binninger, RN
• Megan Biondi
• BJ'S Wholesale Club Inc.
• Teresa Blasscyk

• Clinical Social Worker in Mays Landing, NJ
• Providers in Mays Landing, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.