Individual provider Active NPI

Bettie S Johnson, CSW

  • Clinical Social Worker
  • Flint, MI
National Provider Identifier
1497794002
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801082074 Issued in MI
Practice address
2222 S Linden Rd Ste J
Flint, MI 48532-5413
Phone
(810) 732-0560
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801082074 MI
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801082074 MI Primary

Addresses

Primary practice location

2222 S Linden Rd Ste J
Flint, MI 48532-5413

Mailing address

2222 S Linden Rd Ste J
Flint, MI 48532-5413
Phone (810) 732-0560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20060214000215 MI Practitioner - Clinical Social Worker 9931114899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Behavioral Care of Colorado PCGroup PAC ID 0941648463, 196 clinicians

Practice addresses (Care Compare)

2222 S Linden Rd
Suite J
Flint, MI 48532-5413
Phone (810) 732-0560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801082074MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Psychological Clinic, P.C. Single Specialty Current Accepting new patients
Optum Behavioral Care of Colorado, P.C. Clinical CurrentSince Apr 8, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Single Specialty CurrentSince Apr 8, 2024 Accepting new patients
Dailey Life, Inc. Single Specialty Past Accepting new patients
Alternative Community Living, Inc. PastSince Sep 24, 2023 Accepting new patients
Alternative Community Living, Inc. Past Accepting new patients

Locations

2550 S Telegraph Rd
Ste 250
Bloomfld Hls, MI 48302
Phone (248) 322-0001

2222 S Linden Rd
Ste J
Flint, MI 48532
Phone (810) 720-5700

10785 S Saginaw St
Ste A
Grand Blanc, MI 48439
Phone (810) 695-0055

Organizations & group practices 6

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1497794002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S LINDEN RD STE J",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325413",
            "telephone_number": "810-732-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S LINDEN RD STE J",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325413",
            "telephone_number": "810-732-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BETTIE",
        "middle_name": "S",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801082074",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.