Individual provider Active NPI

Betsy Wafford

  • Clinical Social Worker
  • Chillicothe, OH
National Provider Identifier
1831666767
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0008374-SUPV Issued in OH
Practice address
455 Shawnee LN
Chillicothe, OH 45601-4145
Phone
(740) 779-4888
NPI assigned
Oct 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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 I.0008374-SUPV OH Primary

Addresses

Primary practice location

455 Shawnee LN
Chillicothe, OH 45601-4145

Mailing address

455 Shawnee LN
Chillicothe, OH 45601-4145

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.counseling@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20181116000785 OH Practitioner - Clinical Social Worker 2365796091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Ohio State University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

110 Vaugh Lane
Suite 20
Chillicothe, OH 45601
Phone (740) 779-7201

Hospital & facility affiliations

  • Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159

Merit-based Incentive Payment System (MIPS)

Final score
82.93 of 100Reported as group
Quality
64.42
Promoting interoperability
99
Improvement activities
40
Cost
73.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC CurrentSince Nov 21, 2018 Accepting new patients

Locations

455 Shawnee Ln
Chillicothe, OH 45601
Phone (740) 779-4865

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1831666767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SHAWNEE LN",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456014145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SHAWNEE LN",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456014145",
            "telephone_number": "740-779-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAFFORD",
        "first_name": "BETSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0008374-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.counseling@adena.medicity.net",
            "affiliation": "N",
            "address_1": "455 Shawnee Ln",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456014145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.