Individual provider Active NPI

Beverly Hope Mishkin, LCSW

  • Social Worker
  • Sarasota, FL
National Provider Identifier
1013949429
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW6765 Issued in FL
Practice address
2688 Fruitville Rd
Sarasota, FL 34237-5223
Phone
(941) 366-2224
Fax
(941) 366-2982
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW6765 FL Primary

Addresses

Primary practice location

2688 Fruitville Rd
Sarasota, FL 34237-5223

Mailing address

2688 Fruitville Rd
Sarasota, FL 34237-5223
Phone (941) 366-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW6765FLMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Childrens Service of the Suncoast Inc PastSince Sep 26, 2012 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1013949429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2688 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342375223",
            "telephone_number": "941-366-2224",
            "fax_number": "941-366-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2688 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342375223",
            "telephone_number": "941-366-2224",
            "fax_number": "941-366-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHKIN",
        "first_name": "BEVERLY",
        "middle_name": "HOPE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW6765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.