Active NPI
Debra S Betti, LCSW-R
- Clinical Social Worker
- Rome, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 080646
- Practice address
- 227 W Dominick St
Rome, NY 13440-5859 - Phone
- (315) 336-6230
- NPI assigned
- Feb 14, 2022
- Last updated
- Feb 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 080646 | NY | MD | Clinical Social Worker |
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 | |
| Samaritan Counseling Center of the Mohawk Valley, Inc | Past | Accepting new patients | |
| Upstate Cerebral Palsy, 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
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.
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- Social Worker
- Utica, NY
- NPI 1588903454
-
- Mental Health Counselor
- Utica, NY
- NPI 1780636506
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.