Active NPI
Phyllis J. Betts, LCSW-C, LLC
- Social Worker
- Silver Spring, MD
National Provider Identifier
1336686443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 13435
- Legal business name
- PHYLLIS J. BETTS, LCSW-C, LLC
- Practice address
- 13704 Beauwick CT
Silver Spring, MD 20906-3005 - Phone
- (301) 980-5573
- NPI assigned
- Jan 26, 2017
- Last updated
- Jan 26, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phyllis Jane Betts, LCSW-C
- Title
- Social Worker/Therapist
- Phone
- (301) 980-5573
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 13435 | MD | Primary |
Addresses
Primary practice location
13704 Beauwick CT
Silver Spring, MD 20906-3005
Mailing address
13704 Beauwick CT
Silver Spring, MD 20906-3005
Phone (301) 980-5573
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063855200 | Medicaid | MD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Washington, DC
- NPI 1780871699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485388800000",
"number": "1336686443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13704 BEAUWICK CT",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209063005",
"telephone_number": "301-980-5573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13704 BEAUWICK CT",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209063005",
"telephone_number": "301-980-5573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYLLIS J. BETTS, LCSW-C, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-26",
"last_updated": "2017-01-26",
"status": "A",
"authorized_official_last_name": "BETTS",
"authorized_official_first_name": "PHYLLIS",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "SOCIAL WORKER/THERAPIST",
"authorized_official_telephone_number": "301-980-5573",
"authorized_official_credential": "LCSW-C"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "13435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "063855200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
- Monica Phillips, BCBA
- Rina Phillips, LGSW
- Brigitte Philogene
- Christine Phipps, PHARMD
- Kimberlie Phung
- Phyllis K Barson MD PA
- Physical Therapy and Pain Management Center LLC
- Physical Therapy and Pain Management Center LLC (White Oak Physical Therapy)
- Physical Therapy for You LLC
- Physical Therapy in Action PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.