Active NPI
Betsy O Mejias, LCSW, BCCC
- Clinical Social Worker
- Winder, GA
National Provider Identifier
1508358169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW005931
- Practice address
- 251 E Broad St
Winder, GA 30680-2206 - Phone
- (770) 383-2278
- NPI assigned
- May 30, 2018
- Last updated
- May 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW005931 | GA | Primary |
Addresses
Primary practice location
251 E Broad St
Winder, GA 30680-2206
Mailing address
54 Lighthouse Dr
Winder, GA 30680-8399
Phone (770) 383-2278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW005931 | GA | MD | Clinical Social Worker |
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.
-
- Mental Health Counselor
- Winder, GA
- NPI 1861985327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1508358169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 LIGHTHOUSE DR",
"city": "WINDER",
"state": "GA",
"postal_code": "306808399",
"telephone_number": "770-383-2278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 E BROAD ST",
"city": "WINDER",
"state": "GA",
"postal_code": "306802206",
"telephone_number": "770-383-2278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJIAS",
"first_name": "BETSY",
"middle_name": "O",
"name_prefix": "Mrs.",
"credential": "LCSW, BCCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-30",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW005931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winder, GA
- Medlink Georgia Inc (MedLink Winder Imaging)
- Medlink Georgia Inc (MedLink Pharmacy - Winder)
- Medlink Georgia, Inc
- Medlink Georgia, Inc
- Medlink Georgia, Inc (MedLink Winder Women's Center)
- MH Health Care Services, PC
- Michael L Serrano OD
- Miller Family Chiropractic
- Jeffrey Todd Miller, DC
- Ken D Miller, PH.D., LPC, NCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.