BETSY MARIE BERNBAUM (LCSW) – Clinical Social Worker, NPI 1083472559

BETSY MARIE BERNBAUM (LCSW) is a healthcare provider. based in Parkland, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW22742 (FL). The NPI Number for BETSY MARIE BERNBAUM (LCSW) is 1083472559

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
BETSY MARIE BERNBAUM (LCSW)
NPI
1083472559
Phone
(954) 822-5111
Address
6559 NW 128TH WAY
Enumeration Date
11 March 2024
Last Update Date
11 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8139729700
Graduation Year
2019 (7 years ago)
PAC ID
0840630448
Group Practice PAC ID
6204166762
Professional Enrollment ID
I20240430001876
Address ID
FL336129213TA2811XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for BETSY MARIE BERNBAUM (LCSW)

  • 6559 NW 128TH WAY

    PARKLAND, FL 330761991

    Phone: (954) 822-5111

    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: 2024-04-30

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
I20240430001876IClinical Social WorkerFLTBD

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 33076)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204166762View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Nurse PractitionerMI
Nurse PractitionerIL
Nurse PractitionerFL
Clinical Social WorkerIL
Nurse PractitionerFL
Mental Health CounselorFL
Nurse PractitionerWI
Nurse PractitionerFL
Clinical Social WorkerFL

Reviews

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Frequently asked questions

What unique ID ties claims to BETSY MARIE BERNBAUM (LCSW)?
NPI 1083472559 is assigned to BETSY MARIE BERNBAUM (LCSW) under the national enumeration system.
Is BETSY MARIE BERNBAUM (LCSW)'s NPI currently valid?
The extract we use shows BETSY MARIE BERNBAUM (LCSW) as active.
What does BETSY MARIE BERNBAUM (LCSW) treat or focus on?
Patients typically see BETSY MARIE BERNBAUM (LCSW) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place BETSY MARIE BERNBAUM (LCSW)?
The snapshot lists Parkland, Florida for BETSY MARIE BERNBAUM (LCSW); download NPPES for the complete set.
Is BETSY MARIE BERNBAUM (LCSW) a real provider?
This page reflects official NPPES data for NPI 1083472559. Always confirm identity and privileges with the practice and licensing boards.

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