BETTY C ETZLER (NPI# 1497181101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497181101 |
| Entity Type | Individual |
| Full Name | BETTY C ETZLER |
| Credential | LCSW |
| Practice Address |
4515 Brambleton Ave Ste B Roanoke VA 24018-3436 |
| Mailing Address |
3501 Loblolly Ln Sw Roanoke VA 24018-1324 |
| Practice Telephone | 5407776807 |
| Practice Fax Number | 5407776809 |
| Mailing Telephone | 5403093468 |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904001346 | VA | Behavioral Health & Social Service Providers |
| Street Address |
4515 BRAMBLETON AVE STE B |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-3436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770572331 | Kenneth R Luckay | Family Medicine | 4515 Brambleton Ave, Suite B, Roanoke, VA 24018-3436 | 2005-10-17 |
| 1821310418 | Paula Marie Bell | Occupational Therapist | 4515 Brambleton Ave, Roanoke, VA 24018-3436 | 2010-02-23 |
| 1023330123 | Shelly Basham | Speech-Language Pathologist | 4515 Brambleton Ave, Roanoke, VA 24018-3436 | 2010-02-17 |
| 1457689465 | Sherri Lyn Sanders | Physical Therapist | 4515 Brambleton Ave, Roanoke, VA 24018-3436 | 2009-12-02 |
| 1881929438 | Christine L Buyer | Speech-Language Pathologist | 4515 Brambleton Ave, Roanoke, VA 24018-3436 | 2009-10-14 |
| 1700119096 | Amy Baber Boykin | Occupational Therapist | 4515 Brambleton Ave, Roanoke, VA 24018-3436 | 2009-09-17 |
| 1619200268 | Sandra L Parson | Speech-Language Pathologist | 4515 Brambleton Ave, Roanoke, VA 24018-3436 | 2009-09-15 |
| 1770731903 | Lindsay Anne Burgess | Speech-Language Pathologist | 4515 Brambleton Ave, Roanoke, VA 24018-3436 | 2008-08-29 |
| 1801068408 | Janice M Devoll | Speech-Language Pathologist | 4515 Brambleton Ave, Roanoke, VA 24018-3436 | 2008-03-24 |
| 1295919454 | Melinda L Luckay | Nurse Practitioner | 4515 Brambleton Ave, Suite B, Roanoke, VA 24018-3436 | 2007-12-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911950 | Cynthia Richards | Social Worker | 2602 Cannaday Rd Ne, Roanoke, VA 24012-6208 | 2020-08-04 |
| 1083274336 | Deanna Bibby | Social Worker | 2502 Broadway Ave Sw Uppr Level, Roanoke, VA 24014-1663 | 2019-06-18 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1730672239 | Stephanie Ann Goodbar | Social Worker | 3536 Brambleton Ave Ste 3, Roanoke, VA 24018-6500 | 2018-06-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1992234017 | Christie Reid Mcintosh-svirsky | Social Worker | 6107 Renoir Ln, Roanoke, VA 24018-5298 | 2017-06-12 |
| 1255860458 | Angela N Mitchell | Social Worker | 5215 Starkey Rd, Roanoke, VA 24018-9359 | 2017-06-09 |
| 1730623810 | Sheri O Story | Social Worker | 2151 Berkley Ave Sw, Apt 2, Roanoke, VA 24015-2007 | 2016-12-08 |
| 1447702063 | Rebecca Kaye Sullivan | Social Worker | 1315 2nd St Sw Ste 203, Roanoke, VA 24016-4935 | 2016-10-31 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| Find all providers in ROANOKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.