Individual provider Active NPI

Bethanie Pacheco, LCSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1790098754
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
7706 13TH Ave Ste 2
Brooklyn, NY 11228-2414
Phone
(718) 313-4357
NPI assigned
Jul 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Social Worker 1041C0700X 44SC06347100 NJ
Social Worker 104100000X Primary

Addresses

Primary practice location

7706 13TH Ave Ste 2
Brooklyn, NY 11228-2414

Mailing address

2967 Genesee St
Piffard, NY 14533-9702
Phone (585) 315-1874

Other practice location 1

81 Lake Ave
Rochester, NY 14608-1410
Phone (585) 368-6900

Other names 1

  • Bethanie Hatfield Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211014002224 NY Practitioner - Clinical Social Worker 2567860984 Reassigns benefits to 1 organization
I20240925001654 NJ Practitioner - Clinical Social Worker 2567860984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brooklyn Womens and Family Counseling Services LCSW PLLCGroup PAC ID 5496645921, 21 clinicians

Practice addresses (Care Compare)

111 Town Square PL
Suite 1201
Jersey City, NJ 07310-1724
Phone (718) 232-8600

7706 13TH Ave
Brooklyn, NY 11228-2414
Phone (718) 232-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06347100NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Womens & Family Counseling Services LCSW PLLC Social Worker CurrentSince May 12, 2021 Accepting new patients

Locations

111 Town Square Pl
Ste 1201
Jersey City, NJ 07310
Phone (201) 293-8220

7706 13th Ave
Brooklyn, NY 11228
Phone (718) 879-8844

7706 13th Ave
Ste 2
Brooklyn, NY 11228
Phone (718) 313-4357

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1790098754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2967 GENESEE ST",
            "city": "PIFFARD",
            "state": "NY",
            "postal_code": "145339702",
            "telephone_number": "585-315-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7706 13TH AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282414",
            "telephone_number": "718-313-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146081410",
            "country_code": "US",
            "telephone_number": "585-368-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "BETHANIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06347100",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANIE",
            "last_name": "HATFIELD",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.