Beth Mi Gallegos, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008368 Issued in IA

Practice address

807 4TH
Grinnell, IA 50112

Phone

(641) 781-0770

Fax

(626) 795-7080

NPI assigned

Mar 25, 2006

Last updated

Jul 3, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Beth Mi Hodde Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gallegos Counseling, LLC

  • Clinical Social Worker
  • Grinnell, IA
  • NPI 1194202556
  Authorized official Same address or phone
• Foothills Psychological Services, Inc.

  • Psychologist
  • Upland, CA
  • NPI 1336121888
  NPD (past)

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1740240456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 BROAD STREET",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "50112",
            "telephone_number": "641-781-0770",
            "fax_number": "626-795-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 4TH",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "50112",
            "telephone_number": "641-781-0770",
            "fax_number": "626-795-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "BETH",
        "middle_name": "MI",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-25",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS18431",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "18431",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "008368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "HODDE",
            "middle_name": "MI",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• April L. Forsyth, MD
• Clayton A Francis, MD
• Friends of Angels LLC (Omnicare Welness)
• Anecto Mendoza Gallardo Jr., M.D.
• Gallegos Counseling, LLC
• Anthony Joseph Gallo, PT
• Thomas E Gallo, PT
• Heather Ann George, ARNP
• Stalin George, L.M.H.C
• Melony Gerber, DPT

• Clinical Social Worker in Grinnell, IA
• Providers in Grinnell, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.