Bethany Paige Bledsoe, LCSW
Social Worker, Clinical in Jackson, TN. Individual provider (NPI-1).
NPI number1831298587
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1831298587
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Bethany Paige Bledsoe
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 4468 | TN | Yes |
Practice location
233 Oil Well RdSuite C
Jackson, TN 38305-8014
Phone 731-660-8467
Mailing address
66 Lynwood DrJackson, TN 38301-4235
Phone 731-695-1339
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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