Individual provider Active NPI

Bethany Dawn Walker, LCSW

  • Clinical Social Worker
  • Longview, TX
National Provider Identifier
1942847868
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
68319 Issued in TX
Practice address
3712 French Dr
Longview, TX 75604-1047
Phone
(903) 242-8306
NPI assigned
Dec 10, 2019
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 68319 TX
Clinical Social Worker 1041C0700X 68319 TX Primary

Addresses

Primary practice location

3712 French Dr
Longview, TX 75604-1047

Mailing address

3712 French Dr
Longview, TX 75604-1047
Phone (903) 242-8306

Other identifiers 1

IdentifierTypeStateIssuer
68319OtherTXLCSW LICENSE

Other names 1

  • Miss Bethany Dawn Richardson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bethany@empoweredfamilyservices.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK, MN, ND, SD, TN, MT7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20200221002389 TX Practitioner - Clinical Social Worker 0840627345 Reassigns benefits to 2 organizations
I20250206001667 AK Practitioner - Clinical Social Worker 0840627345 Reassigns benefits to 2 organizations
I20250207001651 MN Practitioner - Clinical Social Worker 0840627345 Reassigns benefits to 1 organization
I20250321003342 ND Practitioner - Clinical Social Worker 0840627345 Reassigns benefits to 1 organization
I20250924001607 SD Practitioner - Clinical Social Worker 0840627345 Reassigns benefits to 1 organization
I20250925002946 TN Practitioner - Clinical Social Worker 0840627345 Reassigns benefits to 1 organization
I20251117003555 MT Practitioner - Clinical Social Worker 0840627345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peterson Medical Clinics LLCGroup PAC ID 9335412220, 91 clinicians
Senior Psychological Care Dallas I LLCGroup PAC ID 3375717044, 72 clinicians

Practice addresses (Care Compare)

2001 Broadway Ave
Yankton, SD 57078-2032
Phone (701) 205-3000

2033 N Ocoee St
Cleveland, TN 37311-3918
Phone (701) 205-3000

4501 15TH Ave SW
Suite 105
Fargo, ND 58103-8956
Phone (701) 205-3000

4635 Southwest Fwy
Suite 635
Houston, TX 77027-7112
Phone 71385000491053

519 Anne St NW
Suite a
Bemidji, MN 56601-4277
Phone (701) 205-3000

960 S 24TH St W
Suite H
Billings, MT 59102-6450
Phone (701) 205-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68319TXMDSocial Worker
9859TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Norton Sound Health Corporation CurrentSince Jan 10, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Sep 11, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Norton Sound Health Corporation CurrentSince Jan 10, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Peterson Medical Clinics, LLC CurrentSince Jan 1, 2025 Accepting new patients
Ocoee Behavioral Health LLPC CurrentSince Aug 15, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Sep 11, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Sweet Memorial Nursing Home PastSince Feb 1, 2010 Accepting new patients

Locations

205 E Benson Blvd
Ste 401
Anchorage, AK 99503

519 Anne St NW
Ste A
Bemidji, MN 56601
Phone (218) 444-5700

960 S 24th St W
Ste H
Billings, MT 59102
Phone (406) 272-2376

721 Central Ave
#107
Great Falls, MT 59401

4501 15th Ave SW
Ste 105
Fargo, ND 58103

3674 S Washington St
Grand Forks, ND 58201
Phone (701) 732-2538

401 Veterans Ave
Sisseton, SD 57262
Phone (605) 698-3162

2001 Broadway Ave
Yankton, SD 57078
Phone (605) 520-0477

2033 N Ocoee St
Cleveland, TN 37311
Phone (423) 458-1020

Interoperability endpoints

  • Direct secure messaging: bethany@empoweredfamilyservices.com
  • FHIR API: https://api.platform.athenahealth.com/23391/brand/1/csg/1/fhir/r4

Organizations & group practices 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1942847868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 FRENCH DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756041047",
            "telephone_number": "903-242-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 FRENCH DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756041047",
            "telephone_number": "903-242-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "BETHANY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "68319",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "68319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "68319",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bethany@empoweredfamilyservices.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "814 Gilmer Rd Ste 1",
            "city": "Longview",
            "state": "TX",
            "country_code": "US",
            "postal_code": "756043614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "RICHARDSON",
            "middle_name": "DAWN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.