Maia Jane Betts, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

053570 Issued in NY

Practice address

274 Delaware Ave
Delmar, NY 12054-1436

Phone

(518) 649-6209

NPI assigned

May 12, 2008

Last updated

May 21, 2015By 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 1

Addresses

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.

• Whitney M. Young Jr. Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Albany, NY
  • NPI 1942660105
  NPD (past)

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1821265661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541436",
            "telephone_number": "518-649-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541436",
            "telephone_number": "518-649-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTS",
        "first_name": "MAIA",
        "middle_name": "JANE",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "053570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Goitz Mental Health Counseling, PLLC
• Debra Lanoue Bennett, LCSW-R
• Michael Bertram
• Bethlehem Central School District
• Bethlehem Pediatrics
• Khrystina Bevilacqua, LMSW
• Mary G Bilik, ATR, LCAT
• Richard Paul Blaber, M.D.
• Nicole Anne Bowden
• Kathleen Ann Brady, M.D.

• Clinical Social Worker in Delmar, NY
• Providers in Delmar, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.