Active NPI
Ines Teresa Betancourt, LCSW
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1932308400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS16348
- Practice address
- 1525 Silver Ave
2ND Floor
San Francisco, CA 94134-1229 - Phone
- (415) 657-1795
- Fax
- (415) 657-1774
- NPI assigned
- Jul 16, 2007
- 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 | LCS16348 | CA | Primary |
Addresses
Primary practice location
1525 Silver Ave
2ND Floor
San Francisco, CA 94134-1229
Mailing address
1525 Silver Avenue, 2ND Floor
San Francisco, CA 94134
Phone (415) 337-8281
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6010 | Other | SFGH INTERNAL USE ONLY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS16348 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380067200000",
"number": "1932308400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 SILVER AVENUE, 2ND FLOOR",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94134",
"telephone_number": "415-337-8281",
"fax_number": "415-657-1774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 SILVER AVE",
"address_2": "2ND FLOOR",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941341229",
"telephone_number": "415-657-1795",
"fax_number": "415-657-1774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETANCOURT",
"first_name": "INES",
"middle_name": "TERESA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-16",
"last_updated": "2013-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS16348",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SFGH INTERNAL USE ONLY",
"identifier": "6010",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.