NANCY D BETHEM (MSW LCSW) – Clinical Social Worker, NPI 1679664916

NANCY D BETHEM (MSW LCSW) is a healthcare provider. based in Folsom, California. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW LCSW. They hold a License No. LCS16992 (CA). The NPI Number for NANCY D BETHEM (MSW LCSW) is 1679664916

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
NANCY D BETHEM (MSW LCSW)
NPI
1679664916
Phone
(916) 988-8885
Address
1000 RIVER ROCK DR
Enumeration Date
28 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9164627273
Graduation Year
1989 (37 years ago)
PAC ID
9537327036
Professional Enrollment ID
I20120229000390
Address ID
CA956617781RO2330XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,987 CLINICAL SOCIAL WORKER in CA

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Provider Addresses for NANCY D BETHEM (MSW LCSW)

  • River Rock Drive, Folsom, Sacramento County, California, 95662, United States of America

    STE 210

    FOLSOM, CA 95630

    Phone: (916) 988-8885

    Fax: (916) 987-9749

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-02-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120229000390IClinical Social WorkerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95630)

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Reviews

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Frequently asked questions

How is NANCY D BETHEM (MSW LCSW) identified in CMS data?
CMS-hosted NPPES data lists NANCY D BETHEM (MSW LCSW) with NPI 1679664916.
Is NANCY D BETHEM (MSW LCSW) listed as active for patients and plans?
The listing shows NANCY D BETHEM (MSW LCSW) as active in the NPI system.
What taxonomy line describes NANCY D BETHEM (MSW LCSW)?
For research purposes, treat NANCY D BETHEM (MSW LCSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect NANCY D BETHEM (MSW LCSW) on a map?
Expect Folsom, California as a primary anchor for NANCY D BETHEM (MSW LCSW) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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