Carmen Betancourt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10151 Issued in CT

Practice address

64 Thompson St
East Haven, CT 06513-5707

Phone

(203) 691-1685

NPI assigned

Mar 13, 2018

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

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/BHcare/r4/

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.

• Bhcare, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ansonia, CT
  • NPI 1306042700
  Medicare reassignment NPD
• Fair Haven Community Health Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • New Haven, CT
  • NPI 1104803444
  Medicare reassignment NPD
• Fair Haven Community Health Clinic, Inc

  • Community/Retail Pharmacy
  • Branford, CT
  • NPI 1760051486
  NPD
• Western Connecticut Center for Neurofeedback and Counseling, LLC

  • Marriage & Family Therapist
  • Sandy Hook, CT
  • NPI 1821463829
  NPD (past)

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1891298253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 THOMPSON ST",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065135707",
            "telephone_number": "203-691-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 THOMPSON ST",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065135707",
            "telephone_number": "203-691-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "CARMEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce D Bellis, MA, LPC
• Benchmark Assisted Living LLC
• Lauren Bennett, LPCA
• Jennifer Marie Benoit, LCSW
• Thomas E Bertoni, P.T.
• BGRX
• Manisha Bhalla, D.M.D.
• Desiree Elizabeth Bishop
• Caitlyn Black
• Karen Monica Blanchard Gore', PHD

• Clinical Social Worker in East Haven, CT
• Providers in East Haven, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.

Verify at the official NPI Registry.