Active NPI
Betty L Harper, LCSW
- Clinical Social Worker
- Petersburg, IN
National Provider Identifier
1801873278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34004154A
- Practice address
- 400 E Main St
Petersburg, IN 47567-1245 - Phone
- (812) 354-8785
- Fax
- (812) 354-8786
- NPI assigned
- Dec 28, 2005
- Last updated
- Apr 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34004154A | IN | Primary |
Addresses
Primary practice location
400 E Main St
Petersburg, IN 47567-1245
Mailing address
PO Box 760
Washington, IN 47501-0760
Phone (812) 254-2760
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 343422 | Other | IN | MHN |
| 000000202873 | Other | IN | ANTHEM BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34004154A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Good Samaritan Washington Primary Care
- Rural Health Clinic/Center
- Washington, IN
- NPI 1770370603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1801873278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 760",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "475010760",
"telephone_number": "812-254-2760",
"fax_number": "812-254-8636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E MAIN ST",
"city": "PETERSBURG",
"state": "IN",
"postal_code": "475671245",
"telephone_number": "812-354-8785",
"fax_number": "812-354-8786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARPER",
"first_name": "BETTY",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-28",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34004154A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "343422",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "000000202873",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Petersburg, IN
- Good Samaritan Hospital (Amber Manor Care Center)
- Good Samaritan Hospital (Samaritan Center - Petersburg)
- Greene Specific Chiropractic Clinic PC
- Robert C Greene, DC
- Nathanial D Grow, M.D.
- Hendricks County Hospital (Brickyard Healthcare - Petersburg Care Center)
- HLS Pharmacies Inc. (HLS Health and Wellness)
- Hook-Superx LLC (CVS Pharmacy #06879)
- Michelle Igleheart
- Gary J Keepes, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.