Active NPI
Bettsie E Specia, LCSW LMFT
- Social Worker
- San Antonio, TX
National Provider Identifier
1467537225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S03925
- Practice address
- 8301 Broadway St
Ste 112
San Antonio, TX 78209-2066 - Phone
- (210) 821-5980
- Fax
- (210) 821-6121
- NPI assigned
- Oct 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S03925 | TX | Primary |
| Marriage & Family Therapist | 106H00000X | 3226 | TX |
Addresses
Primary practice location
8301 Broadway St
Ste 112
San Antonio, TX 78209-2066
Mailing address
8301 Broadway St
Ste 112
San Antonio, TX 78209-2066
Phone (210) 821-5980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064237301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100803001225 | TX | Practitioner - Clinical Social Worker | 5092848614 | Practice locations: San Antonio, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1974
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
8301 Broadway St
Suite 112
San Antonio, TX 78209-2066
Phone (210) 821-5980
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3226 | TX | MD | Behavioral Analyst |
| S03925 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Elder Care, Inc. | Social Worker | Past | Accepting new patients |
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": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493856000000",
"number": "1467537225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8301 BROADWAY ST",
"address_2": "STE 112",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782092066",
"telephone_number": "210-821-5980",
"fax_number": "210-821-6121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8301 BROADWAY ST",
"address_2": "STE 112",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782092066",
"telephone_number": "210-821-5980",
"fax_number": "210-821-6121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPECIA",
"first_name": "BETTSIE",
"middle_name": "E",
"credential": "LCSW LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2017-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "S03925",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "3226",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "064237301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.