Individual provider Active NPI

Bette B. Betts, MSW

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1417047150
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-1698 Issued in NM
Practice address
1012 Marquez PL
Suite 211 a
Santa Fe, NM 87505-1834
Phone
(505) 310-1074
Fax
(505) 992-6145
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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 I-1698 NM Primary

Addresses

Primary practice location

1012 Marquez PL
Suite 211 a
Santa Fe, NM 87505-1834

Mailing address

1920 Tijeras Rd
Santa Fe, NM 87505-3352
Phone (505) 310-1074

Other identifiers 1

IdentifierTypeStateIssuer
A1073MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20040127000948 NM Practitioner - Clinical Social Worker 2062315203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychotherapy and Pastoral Counseling AssociatesGroup PAC ID 2062780083, 8 clinicians

Practice addresses (Care Compare)

2019 Galisteo St
Suite M1A
Santa Fe, NM 87505-2110
Phone (505) 988-4131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-1698NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapy & Pastoral Counseling Associates CurrentSince Mar 27, 2017 Accepting new patients

Locations

2019 Galisteo St
Ste M1A
Santa Fe, NM 87505
Phone (505) 988-4131

Organizations & group practices 1

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1417047150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 TIJERAS RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053352",
            "telephone_number": "505-310-1074",
            "fax_number": "505-992-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 MARQUEZ PL",
            "address_2": "SUITE 211 A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051834",
            "telephone_number": "505-310-1074",
            "fax_number": "505-992-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTS",
        "first_name": "BETTE",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-1698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A1073",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.