Individual provider Active NPI

Debra S Betti, LCSW-R

  • Clinical Social Worker
  • Rome, NY
National Provider Identifier
1295480804
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080646 Issued in NY
Practice address
227 W Dominick St
Rome, NY 13440-5859
Phone
(315) 336-6230
NPI assigned
Feb 14, 2022
Last updated
Feb 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 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 080646 NY Primary

Addresses

Primary practice location

227 W Dominick St
Rome, NY 13440-5859

Mailing address

227 W Dominick St
Rome, NY 13440-5859
Phone (315) 336-6230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240926004438 NY Practitioner - Clinical Social Worker 4688031701 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
080646NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care Psychology of Ny PC CurrentSince Sep 15, 2024 Accepting new patients
Samaritan Counseling Center of the Mohawk Valley, Inc CurrentSince Oct 23, 2024 Accepting new patients
Samaritan Counseling Center of the Mohawk Valley, Inc PastSince Oct 23, 2024 Accepting new patients
Upstate Cerebral Palsy, Inc PastSince Feb 24, 2022 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500

1612 Genesee St
Utica, NY 13502
Phone (315) 724-5173

Organizations & group practices 4

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": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1295480804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 W DOMINICK ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405859",
            "telephone_number": "315-336-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W DOMINICK ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405859",
            "telephone_number": "315-336-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTI",
        "first_name": "DEBRA",
        "middle_name": "S",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

Verify at the official NPI Registry.