Individual provider Active NPI

Betsy R. Kammerud, LCSW

  • Clinical Social Worker
  • Savannah, GA
National Provider Identifier
1962552430
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004072 Issued in GA
Practice address
450 Mall Blvd
Suite H
Savannah, GA 31406-4824
Phone
(912) 629-1409
Fax
(912) 303-0242
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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 CSW004072 GA Primary

Addresses

Primary practice location

450 Mall Blvd
Suite H
Savannah, GA 31406-4824

Mailing address

406 E 50TH St
Apt B
Savannah, GA 31405-2349
Phone (912) 655-0748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1962552430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 E 50TH ST",
            "address_2": "APT B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314052349",
            "telephone_number": "912-655-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MALL BLVD",
            "address_2": "SUITE H",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064824",
            "telephone_number": "912-629-1409",
            "fax_number": "912-303-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMMERUD",
        "first_name": "BETSY",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.