Individual provider Active NPI

Beverly G Ritland, LCSW, M.DIV

  • Clinical Social Worker
  • Scottsdale, AZ
National Provider Identifier
1053556456
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11087 Issued in AZ
Practice address
15152 N Frank Lloyd Wright Blvd
Scottsdale, AZ 85260-2869
Phone
(602) 810-0933
Fax
(623) 266-7030
NPI assigned
Dec 13, 2008
Last updated
Jul 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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 11087 AZ Primary

Addresses

Primary practice location

15152 N Frank Lloyd Wright Blvd
Scottsdale, AZ 85260-2869

Mailing address

2550 E Rose Garden LN
#71155
Phoenix, AZ 85050-7700
Phone (602) 810-0933

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
11087AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Interfaith Counseling Past Accepting new patients

Organizations & group practices 2

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": "1229126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1053556456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 E ROSE GARDEN LN",
            "address_2": "#71155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850507700",
            "telephone_number": "602-810-0933",
            "fax_number": "623-266-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15152 N FRANK LLOYD WRIGHT BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602869",
            "telephone_number": "602-810-0933",
            "fax_number": "623-266-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITLAND",
        "first_name": "BEVERLY",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LCSW, M.DIV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-13",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "11087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.