Individual provider Active NPI

Bethany Jean Robson, LCSW-R

  • Clinical Social Worker
  • Montour Falls, NY
National Provider Identifier
1831255975
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R044304-1 Issued in NY
Practice address
401 W Main St
Montour Falls, NY 14865-9624
Phone
(716) 499-4817
Fax
(716) 402-1860
NPI assigned
Dec 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R044304-1 NY Primary

Addresses

Primary practice location

401 W Main St
Montour Falls, NY 14865-9624

Mailing address

PO Box 81
Montour Falls, NY 14865-0081
Phone (716) 499-4817

Other identifiers 1

IdentifierTypeStateIssuer
02148254MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081212000367 NY Practitioner - Clinical Social Worker 8224199955 Reassigns benefits to 1 organization
Practice locations: Ashville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Buffalo School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

300 Cadman PLZ W
Brooklyn, NY 11201-3211
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R044304-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
County of Chautauqua - a Mun Corp Past Accepting new patients
County of Chautauqua - a Mun Corp PastSince Aug 1, 1996 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1831255975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81",
            "city": "MONTOUR FALLS",
            "state": "NY",
            "postal_code": "148650081",
            "telephone_number": "716-499-4817",
            "fax_number": "716-402-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MAIN ST",
            "city": "MONTOUR FALLS",
            "state": "NY",
            "postal_code": "148659624",
            "telephone_number": "716-499-4817",
            "fax_number": "716-402-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBSON",
        "first_name": "BETHANY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-30",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R044304-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02148254",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montour Falls, NY

Sources for this page

Verify at the official NPI Registry.