Active NPI
Kathilyn Beard, LCSW
- Social Worker
- West, TX
National Provider Identifier
1043352867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 07746
- Practice address
- 5467 Rogers Hill Rd
West, TX 76691-2415 - Phone
- (254) 829-1920
- Fax
- (254) 829-1782
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 07746 | TX | Primary |
Addresses
Primary practice location
5467 Rogers Hill Rd
West, TX 76691-2415
Mailing address
5467 Rogers Hill Rd
West, TX 76691-2415
Phone (254) 829-1920
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
| License | State | Type | Specialty |
|---|---|---|---|
| 07746 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookhaven Youth Ranch, Inc. | Past | 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.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- West, TX
- NPI 1740321686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043352867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5467 ROGERS HILL RD",
"city": "WEST",
"state": "TX",
"postal_code": "766912415",
"telephone_number": "254-829-1920",
"fax_number": "254-829-1782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5467 ROGERS HILL RD",
"city": "WEST",
"state": "TX",
"postal_code": "766912415",
"telephone_number": "254-829-1920",
"fax_number": "254-829-1782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARD",
"first_name": "KATHILYN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "07746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.