Jennie Bedsworth, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2015007555 Issued in MO

Practice address

2625 Fairway Dr Ste E
Fulton, MO 65251-4023

Phone

(573) 642-3239

Fax

(573) 642-2214

NPI assigned

Jul 13, 2016

Last updated

Jul 13, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1982057048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-890-8186",
            "fax_number": "660-890-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 FAIRWAY DR STE E",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652514023",
            "telephone_number": "573-642-3239",
            "fax_number": "573-642-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDSWORTH",
        "first_name": "JENNIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2015007555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Batek Family Eye Care, Inc.
• Sharon K Batek, O.D.
• Rylan Nathaniel Batten
• Ashley Battles, LPC
• BDM Associates LLC (Peak Performance Physical Therapy & Sports Medicine)
• Katherine Berrey
• Audra Biermann
• Bigeye Emergency Physicians LLC
• Dawn Marie Blashak, LPC
• Board of Education

• Clinical Social Worker in Fulton, MO
• Providers in Fulton, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.