Active NPI
Bethany Hale, MSW
- Clinical Social Worker
- Kennewick, WA
National Provider Identifier
1821459868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW61417219
- Practice address
- 4203 S Yelm PL
Kennewick, WA 99337-2733 - Phone
- (509) 947-6055
- NPI assigned
- Mar 18, 2016
- Last updated
- Jul 3, 2024
- 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 | LW61417219 | WA | Primary |
Addresses
Primary practice location
4203 S Yelm PL
Kennewick, WA 99337-2733
Mailing address
4203 S Yelm PL
Kennewick, WA 99337-2733
Phone (509) 947-6055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW61417219 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Healthcare | Current | Accepting new patients | |
| Comprehensive Healthcare | Current | Accepting new patients | |
| Lourdes | Past | Accepting new patients | |
| Our Lady of Lourdes at Pasco | Past | Accepting new patients |
Locations
402 S 4th Ave
Yakima, WA 98902
Phone (509) 575-3874
Organizations & group practices 4
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.
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- Yakima, WA
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- NPI 1588871693
-
- Special Hospital
- Pasco, WA
- NPI 1053775841
-
dba Lourdes Wilson House
- Developmentally Disabled Services Day Training Agency
- Pasco, WA
- NPI 1992859078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1821459868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4203 S YELM PL",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993372733",
"telephone_number": "509-947-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4203 S YELM PL",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993372733",
"telephone_number": "509-947-6055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "BETHANY",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-18",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW61417219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.