Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bethany Marie Ty, LCSW

Individual provider Clinical Social Worker · NPI 1881409522

Bethany Marie Ty, LCSW is a Clinical Social Worker in Middletown, Connecticut. Qualified in 2020, 6 years ago. Practices with Ambitions Counseling Services, LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
6
Licensed in
CT
In the registry since
2025
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

77 Bystrek Dr
Middletown, CT 06457-8706
Phone: (203) 500-8445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 13361 (CT)

Record details

NPI number1881409522
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 10, 2025
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ambitions Counseling Services, Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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