Individual provider Active NPI

Jessica Beatty, LCSW

  • Clinical Social Worker
  • Larimer, PA
National Provider Identifier
1003043266
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019112 Issued in PA
Practice address
1159 Brownstown Rd
Larimer, PA 15647-9704
Phone
(724) 590-5777
NPI assigned
Jun 16, 2009
Last updated
May 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW019112 PA Primary

Addresses

Primary practice location

1159 Brownstown Rd
Larimer, PA 15647-9704

Mailing address

1159 Brownstown Rd
Larimer, PA 15647-9704
Phone (724) 515-2696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191007000734 PA Practitioner - Clinical Social Worker 4284965229 Reassigns benefits to 1 organization
Practice locations: Larimer, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1159 Brownstown Rd
Larimer, PA 15647-9704
Phone (412) 605-2336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW019112PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hopeful Tomorrows Counseling Services, LLC Clinical CurrentSince Jun 19, 2023 Accepting new patients

Locations

1159 Brownstown Rd
Larimer, PA 15647
Phone (412) 605-2336

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1003043266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 BROWNSTOWN RD",
            "city": "LARIMER",
            "state": "PA",
            "postal_code": "156479704",
            "telephone_number": "724-515-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 BROWNSTOWN RD",
            "city": "LARIMER",
            "state": "PA",
            "postal_code": "156479704",
            "telephone_number": "724-590-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larimer, PA

Sources for this page

Verify at the official NPI Registry.