Individual provider Active NPI

Mary E. Bechtel, L.C.S.W., L.I.C.S.W.

  • Clinical Social Worker
  • Moretown, VT
National Provider Identifier
1487241089
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0129424 Issued in VT
Practice address
89 Castle Rd
Moretown, VT 05660-9498
Phone
(269) 873-1216
NPI assigned
Dec 29, 2020
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801082959 MI
Clinical Social Worker 1041C0700X 089.0129424 VT Primary

Addresses

Primary practice location

89 Castle Rd
Moretown, VT 05660-9498

Mailing address

89 Castle Rd
Moretown, VT 05660-9498
Phone (269) 873-1216

Other practice location 1

5242 Plainfield Ave NE Ste A
Grand Rapids, MI 49525-1084
Phone (269) 873-1216

Other identifiers 1

IdentifierTypeStateIssuer
6801082959MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL bechtel Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20221102000362 VT Practitioner - Clinical Social Worker 8820464084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

89 Castle Rd
Moretown, VT 05660-9498
Phone (269) 873-1216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089.0129424VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stoneybrook Behavior Health, PLLC Clinical CurrentSince Sep 27, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1487241089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 CASTLE RD",
            "city": "MORETOWN",
            "state": "VT",
            "postal_code": "056609498",
            "telephone_number": "269-873-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 CASTLE RD",
            "city": "MORETOWN",
            "state": "VT",
            "postal_code": "056609498",
            "telephone_number": "269-873-1216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5242 Plainfield Ave NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495251084",
            "country_code": "US",
            "telephone_number": "269-873-1216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECHTEL",
        "first_name": "MARY",
        "middle_name": "E.",
        "credential": "L.C.S.W., L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082959",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0129424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6801082959",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bechtel",
            "affiliation": "N",
            "endpointDescription": "last name",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5242 Plainfield Ave NE Ste A",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495251084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moretown, VT

Sources for this page

Verify at the official NPI Registry.