Active NPI
Robyn Bethea, MSW
- Social Worker
- Fayetteville, NC
National Provider Identifier
1629186192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CSW002490
- Practice address
- 528TH Medical Detachment, (CSC)
BLDG 1-2732, Knox Hall
Fayetteville, NC 28310 - Phone
- (910) 907-1997
- Fax
- (910) 907-3978
- NPI assigned
- Aug 26, 2006
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | CSW002490 | GA | Primary |
Addresses
Primary practice location
528TH Medical Detachment, (CSC)
BLDG 1-2732, Knox Hall
Fayetteville, NC 28310
Mailing address
2817 Reilly Road MCXC-Cod Credentials
Womack Army Medical Center
Fort Bragg, NC 28310
Phone (910) 907-8922
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW002490 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629186192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 REILLY ROAD MCXC-COD CREDENTIALS",
"address_2": "WOMACK ARMY MEDICAL CENTER",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "28310",
"telephone_number": "910-907-8922",
"fax_number": "910-907-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "528TH MEDICAL DETACHMENT, (CSC)",
"address_2": "BLDG 1-2732, KNOX HALL",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28310",
"telephone_number": "910-907-1997",
"fax_number": "910-907-3978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETHEA",
"first_name": "ROBYN",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "CSW002490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.