Elizabeth Betancourt

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

227877 Issued in MA

Practice address

201 River St
Mattapan, MA 02126-2713

Phone

(617) 534-9150

NPI assigned

Oct 1, 2021

Sex

Female

Sole proprietor

Yes

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 MA

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fenway Community Health Center, IncGroup PAC ID 0941299655, 79 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/boston/r4/

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.

• Fenway Community Health Center, Inc

  dba Fenway Health

  • Federally Qualified Health Center (FQHC)
  • Boston, MA
  • NPI 1003804725
  Medicare reassignment Care Compare group NPD
• Harbor Health Services, Inc.

  dba Daniel Driscoll - Neponset Health Center

  • Community Health Clinic/Center
  • Dorchester, MA
  • NPI 1881692366
  Medicare reassignment NPD
• Fenway Community Health Center, Inc

  dba Fenway Community Hlth Pharmacy

  • Pharmacist
  • Boston, MA
  • NPI 1275647505
  NPD
• Harbor Health Services, Inc.

  dba Harbor Community Health Center, Plymouth

  • Community Health Clinic/Center
  • Plymouth, MA
  • NPI 1568892859
  NPD
• Boston Public Health Commission

  dba Substance Abuse Services

  • Public Health or Welfare Agency
  • Boston, MA
  • NPI 1063431492
  NPD (past)
• Boston Public Health Commission

  dba Asthma Home Visiting & Immunization Prog.

  • Public Health or Welfare Agency
  • Boston, MA
  • NPI 1114201605
  NPD (past)

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1770255457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MASSACHUSETTS AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-534-3134",
            "fax_number": "857-288-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RIVER ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262713",
            "telephone_number": "617-534-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "227877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bear Mt Mattapan, LLC (Mattapan Health & Rehabilitation Center)
• Leticia Bello
• Dionne C. Bennett, LICSW
• Monet Icilda Bennett
• Taffidy Joy Berrouette, LICSW
• Giyianni C Blackwell, DOULA
• Cynthia L Boddie-Willis, MD
• Betty M Bogard, RN
• Carmelle Bonhometre
• Jean S.F. Bonnet, M.D.

• Clinical Social Worker in Mattapan, MA
• Providers in Mattapan, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.