Debra S Betti, LCSW-R
Individual provider Active NPI Clinical Social Worker · Rome, NY
NPI 1295480804 · NPPES record last updated Feb 14, 2022
Key facts
- NPI
- 1295480804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 080646 (NY)
- Practice address
- 227 W Dominick St
Rome, NY 13440-5859 - Phone
- (315) 336-6230
- NPI assigned
- Feb 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240926004438 | NY | Practitioner - Clinical Social Worker | 4688031701 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Care Psychology of Ny PC | Current |
Accepting new patients | |
| Samaritan Counseling Center of the Mohawk Valley, Inc | Current |
Accepting new patients | |
| Upstate Cerebral Palsy, Inc | Past |
Accepting new patients | |
| Samaritan Counseling Center of the Mohawk Valley, Inc | Past |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 080646 | NY | Yes |
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
Other providers in Rome, NY
- Chloe Nadine Bergman
- Sara Nicole Bessette
- Bethany Operating Co LLC
- Betsy Ross Operations LLC
- Betsy Ross Rehabilitation Center
- Shiv S Bhatt
- Shaina Elizabeth Bienvenue
- Binghampton Optical Inc
- Catherine Bird
- Stacy Michelle Bisgrove
All providers in Rome, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.