Individual provider Active NPI

Bethany Camille Tercero-Inchaustegui, LCSW

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1518798586
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2025-0404 Issued in NM
Practice address
2100 Yucca St
Santa Fe, NM 87505-5456
Phone
(505) 467-2439
NPI assigned
Aug 12, 2024
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SWB-2023-0052 NM
Clinical Social Worker 1041C0700X SWB-2025-0404 NM Primary

Addresses

Primary practice location

2100 Yucca St
Santa Fe, NM 87505-5456

Mailing address

2100 Yucca St
Santa Fe, NM 87505-5456
Phone (505) 467-2439

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
I20250909003666 NM Practitioner - Clinical Social Worker 5193228997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 2267
Santa Fe, NM 87504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2023-0052NMMDSocial Worker
SWB-2025-0404NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services CurrentSince Aug 1, 2025 Accepting new patients
Presbyterian Medical Services CurrentSince Aug 1, 2025 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
Presbyterian Medical Services PastSince Aug 18, 2024 Accepting new patients

Locations

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1518798586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 YUCCA ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055456",
            "telephone_number": "505-467-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 YUCCA ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055456",
            "telephone_number": "505-467-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERCERO-INCHAUSTEGUI",
        "first_name": "BETHANY",
        "middle_name": "CAMILLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "SWB-2023-0052",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2025-0404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.