Betsy Griffen Clark, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C002789 Issued in NC

Practice address

1165 McKee Farm LN
Belmont, NC 28012-8671

Phone

(704) 771-2307

NPI assigned

Aug 4, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA, SC2 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

Specialty

Clinical Social Worker

Education

New York University School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neighborhood Improvement Project, IncGroup PAC ID 7315851078, 68 clinicians

Inpatient Psychology Solutions LLCGroup PAC ID 2961825872, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Inpatient Psychology Solutions LLC

  • Psychologist
  • Augusta, GA
  • NPI 1497383152

  Clinical

  Medicare reassignment Care Compare group NPD
• Neighborhood Improvement Project Inc

  • Federally Qualified Health Center (FQHC)
  • Aiken, SC
  • NPI 1215743638
  Medicare reassignment Care Compare group NPD
• Neighborhood Improvement Project Inc

  • Federally Qualified Health Center (FQHC)
  • Evans, GA
  • NPI 1740158922
  NPD

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1295250876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 MABLE AVE",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280833785",
            "telephone_number": "704-925-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 MCKEE FARM LN",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280128671",
            "telephone_number": "704-771-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BETSY",
        "middle_name": "GRIFFEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF ONCOLOGY SOCIAL WORK CERTIFICATION",
            "identifier": "776",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD",
            "identifier": "C002789",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brook Ashley Christopher, LCSW
• Jaymee M Chu
• City of Angels Home Healthcare Inc
• City of Angels Home Healthcare Inc
• Carol Ashe Clapp, RN
• Calah Leigh Clayton, OD
• Clemson Sports Medicine and Rehabilitation, Inc
• Valerie Pacheco Cloud, PA-C
• CMC-Northeast, Inc.
• Allison Clippard Cobb, RPH

• Clinical Social Worker in Belmont, NC
• Providers in Belmont, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.