Individual provider Active NPI

Sheri Bettenhausen, LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1700215340
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3782 Issued in KY
Practice address
2312 Remington Way Apt 2201
Lexington, KY 40511-2285
Phone
(859) 474-0033
NPI assigned
Nov 4, 2013
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3782 KY Primary

Addresses

Primary practice location

2312 Remington Way Apt 2201
Lexington, KY 40511-2285

Mailing address

2312 Remington Way Apt 2201
Lexington, KY 40511-2285
Phone (859) 338-5780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20221129001459 KY Practitioner - Clinical Social Worker 9234507005 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3782KYMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Nov 15, 2022 Accepting new patients
Specialized Alternative for Families and Youth of Kentucky, Inc. Past Accepting new patients

Locations

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1700215340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 REMINGTON WAY APT 2201",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405112285",
            "telephone_number": "859-338-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 REMINGTON WAY APT 2201",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405112285",
            "telephone_number": "859-474-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTENHAUSEN",
        "first_name": "SHERI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.