Active NPI
Bethany J. Roberts
- Clinical Social Worker
- Kalona, IA
National Provider Identifier
1679092332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 086743
- Practice address
- 315 B Ave
Kalona, IA 52247 - Phone
- (319) 214-9129
- Fax
- (888) 892-2484
- NPI assigned
- Sep 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 086743 | IA | Primary |
Addresses
Primary practice location
315 B Ave
Kalona, IA 52247
Mailing address
1580 480TH St SW
Kalona, IA 52247-9243
Phone (319) 214-9129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 13, 2020 through Oct 13, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 086743 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Associates of Iowa, PC | Past | Accepting new patients | |
| Psychiatric Associates of Iowa, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- North Liberty, IA
- NPI 1568121457
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- North Liberty, IA
- NPI 1720709074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1679092332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1580 480TH ST SW",
"city": "KALONA",
"state": "IA",
"postal_code": "522479243",
"telephone_number": "319-214-9129",
"fax_number": "888-892-2484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 B AVE",
"city": "KALONA",
"state": "IA",
"postal_code": "52247",
"telephone_number": "319-214-9129",
"fax_number": "888-892-2484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "BETHANY",
"middle_name": "J.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-13",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "086743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalona, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.