Betina R Wofford-Gilmore, DSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

70057 Issued in CA

Practice address

41765 Rider Way
Temecula, CA 92590-4826

Phone

(951) 305-1725

Fax

(951) 262-8163

NPI assigned

Dec 5, 2006

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

Other names 1

• Mrs. Betina R Scott Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1962560417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1272",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925951272",
            "telephone_number": "951-305-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41765 RIDER WAY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904826",
            "telephone_number": "951-305-1725",
            "fax_number": "951-262-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOFFORD-GILMORE",
        "first_name": "BETINA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "70057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETINA",
            "last_name": "SCOTT",
            "middle_name": "R",
            "prefix": "MRS.",
            "credential": "DSW,LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alessandra Wanuska Wisniewski
• Daniel Witek
• Robert Allen Witek, D.D.S.
• Eden Witters, RBT
• Skylynn Wittry
• Susan Marie Wolbert
• Kayla Wold
• Nathnael Abera Woldehana, MD, MPH
• Cassie Marie Wolff, CCC-SLP
• Woman to Woman Health Center

• Clinical Social Worker in Temecula, CA
• Providers in Temecula, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.