Individual provider Active NPI

Jessica Jane Betten, LCSW

  • Clinical Social Worker
  • Naples, FL
National Provider Identifier
1396528618
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW24550 Issued in FL
Practice address
2345 Stanford CT Ste 602
Naples, FL 34112-4841
Phone
(239) 880-2074
NPI assigned
Aug 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW24550 FL Primary

Addresses

Primary practice location

2345 Stanford CT Ste 602
Naples, FL 34112-4841

Mailing address

532 101St Ave N
Naples, FL 34108-3201
Phone (239) 645-9454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250417003405 FL Practitioner - Clinical Social Worker 8224553631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Therapy Treatment Team LLCGroup PAC ID 0446594451, 22 clinicians

Practice addresses (Care Compare)

2345 Stanford CT
Suite 602
Naples, FL 34112-4841
Phone (239) 537-9646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW24550FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Treatment Team LLC Multi-Specialty CurrentSince Apr 4, 2025 Accepting new patients
Therapy Treatment Team LLC CurrentSince Apr 4, 2025 Accepting new patients

Locations

12811 Kenwood Ln
Ste 202
Fort Myers, FL 33907
Phone (239) 537-9646

2345 Stanford Ct
Ste 602
Naples, FL 34112
Phone (239) 537-9646

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1396528618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 101ST AVE N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341083201",
            "telephone_number": "239-645-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 STANFORD CT STE 602",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341124841",
            "telephone_number": "239-880-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTEN",
        "first_name": "JESSICA",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW24550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.