Susan Yanet Betalleluz, LCSW
Individual provider Active NPI Clinical Social Worker · New Britain, CT
NPI 1669986683 · NPPES record last updated Nov 29, 2017
Key facts
- NPI
- 1669986683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 73 Cedar St
New Britain, CT 06052-1301 - Phone
- (860) 224-5267
- NPI assigned
- Nov 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9867 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hospital of Central Connecticut at New Britain General and Bradley | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
73 Cedar St
New Britain, CT 06052-1301
Mailing address
161 McClintock St
New Britain, CT 06053-2935
Phone (860) 578-0003
Other providers in New Britain, CT
- Lucy Benson
- Grace Berlage
- Scott Irwin Berman
- David Ben Bernard
- Ashley Bessette
- Helen Betgivargis
- Ellen Holbrook Beth
- Laura Elizabeth Beveridge
- Mohamad Beydoun
- Mary Jane Bezares
All providers in New Britain, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.