BEZAWIT BEKELE SEYOUM
NPI 1295461150
Social Worker in Charlotte, NC

Active since July 25, 2022PECOS Enrolled
PO BOX 19305, CHARLOTTE, NC 28219(704) 996-8825 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2025, Jul 25, 2022 (2 updates tracked since 2022).

About Bezawit Bekele Seyoum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEZAWIT BEKELE SEYOUM (NPI 1295461150) is an individual social worker in Charlotte, North Carolina and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lexington, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1295461150
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameBEZAWIT BEKELE SEYOUM
Location AddressPO BOX 19305Charlotte, NC 28219-9305
Mailing Address108 Palmetto Park BlvdLexington, SC 29072-7968
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 25, 2022
Last NPPES UpdateJuly 7, 20252 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
NPI 1295461150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
PO BOX 19305, Charlotte, NC 28219

Secondary Practice Location 1

Location 1108 Palmetto Park BlvdLexington, SC 29072-7968 · Phone (803) 996-1500

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Bezawit Bekele Seyoum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052818515
PECOS Enrollment IDI20251009002761
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Gerontology)
PO BOX 19305
CHARLOTTE, NC 28219
Internal Medicine
PO BOX 19305
CHARLOTTE, NC 28219
Physical Therapist
PO BOX 19305
CHARLOTTE, NC 28219
Registered Nurse
PO BOX 19305
CHARLOTTE, NC 28219

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bezawit Seyoum's NPI number?

The NPI number for Bezawit Seyoum is 1295461150. It was assigned to this individual provider in the NPPES registry on July 25, 2022.

Where is Bezawit Seyoum located?

Bezawit Seyoum practices at PO Box 19305, Charlotte, NC 28219. The listed phone number is (704) 996-8825.

What is Bezawit Seyoum's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Bezawit Seyoum enrolled in Medicare?

Yes. Bezawit Seyoum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bezawit Seyoum was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.