Chantel Bethune-Barrett

Individual provider Active NPI Clinical Social Worker · Moody Afb, GA

NPI 1821852872 · NPPES record last updated Sep 9, 2026

Key facts

NPI
1821852872
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
2024038223 (MO)
Practice address
3278 Mitchell Blvd
Moody Afb, GA 31699-1500
Phone
(229) 257-2778
NPI assigned
Feb 9, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2024038223MOMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2024038223 MO Yes
Social Worker 104100000X

Addresses

Primary practice location

3278 Mitchell Blvd
Moody Afb, GA 31699-1500

Mailing address

3278 Mitchell Blvd
Moody Afb, GA 31699-1502
Phone (229) 257-2778

Other names

  • Chantel Bethune Former name

Other providers in Moody Afb, GA

All providers in Moody Afb, GA · Clinical Social Worker in Georgia

Sources for this page

Verify at the official NPI Registry.