Betty J Proctor, MSW, ILCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW 3732 Issued in FL

Practice address

4157 Mission Trace Blvd
Tallahassee, FL 32303-1728

Phone

(850) 212-9539

NPI assigned

Jul 19, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1700086675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4157 MISSION TRACE BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323031728",
            "telephone_number": "850-212-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4157 MISSION TRACE BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323031728",
            "telephone_number": "850-212-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "BETTY",
        "middle_name": "J",
        "credential": "MSW, ILCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW 3732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki Jeanne Pritchett, PH.D.
• Taylor Pritchett
• Tiffany J Pritchett
• Proactive Medical Alliance
• Amber Proctor, LCSW
• Briley Elizabeth Proctor, PHD
• Diana Marie Proctor, MSW
• Professional Park Pediatrics P.a.
• Progressive Pediatric Therapy Services
• Progressive Pediatric Therapy Services Early Intervention

• Clinical Social Worker in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.