Bethany Renae Aubuchon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2017027968 Issued in MO

Practice address

1 Southtowne Dr
Potosi, MO 63664-5729

Phone

(573) 438-9355

NPI assigned

Nov 3, 2020

Last updated

Feb 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Great Mines Health Center

  • Federally Qualified Health Center (FQHC)
  • Potosi, MO
  • NPI 1376536953
  Medicare reassignment NPD
• Great Mines Health Center

  dba Farmington R-VII - Dayse Baker Learning Center

  • Federally Qualified Health Center (FQHC)
  • Farmington, MO
  • NPI 1073188462
  NPD
• Rocky Creek Youth Ranch Incorportated

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Park Hills, MO
  • NPI 1790148971
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1689275992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 MATTHEWS LN",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636017207",
            "telephone_number": "573-562-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOUTHTOWNE DR",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636645729",
            "telephone_number": "573-438-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 W Pine St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636401426",
            "country_code": "US",
            "telephone_number": "573-664-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUBUCHON",
        "first_name": "BETHANY",
        "middle_name": "RENAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017027968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Air Evac EMS Inc (Air Evac Lifeteam)
• Kamal Akhtar, FNP
• David Orie Albert Sr., O.D.
• Patricia Louise Allen, APRN
• Ally Care LLC
• Austin Plaza Pharmacy Inc
• Michelle Danielle Barnes, AE-C
• Michael Dennis Barnum, M.D.
• Timothy Will Christopher Bass, M.D.
• Kallie Belfield

• Clinical Social Worker in Potosi, MO
• Providers in Potosi, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.