Renaldo Damian McBeth, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50082834 Issued in DC

Practice address

162 35TH St NE
Washington, DC 20019-2504

Phone

(757) 642-4185

NPI assigned

Jun 15, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mbi Health Services LLC

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1396048070

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1043740681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 35TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200192504",
            "telephone_number": "757-642-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 35TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200192504",
            "telephone_number": "757-642-4185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 N Capitol St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200023360",
            "country_code": "US",
            "telephone_number": "757-642-4185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCBETH",
        "first_name": "RENALDO",
        "middle_name": "DAMIAN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcbethrd@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "162 35th St NE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200192504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lara C McAteer, OT
• Jessica L McAuliffe, FNP-BC
• Madeline Graham McAuliffe, MSN, WHNP-BC
• MCB Chiropractic, LLC
• Nashema J McBeath
• Ebony McBrayer
• Shakita Chavette McBrayer
• Tyesha McBrayer
• Brian P. McBreen, MD
• Gregory McBride-Bey

• All providers in Washington, DC
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.