Active NPI
Patricia F Beach, LMSW, ACSW, BCD
- Clinical Social Worker
- Southfield, MI
National Provider Identifier
1063440568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801014015
- Practice address
- 29201 Telegraph Rd
Suite 550
Southfield, MI 48034-1331 - Phone
- (248) 213-0501
- Fax
- (248) 213-0521
- NPI assigned
- Jun 30, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801014015 | MI | Primary |
Addresses
Primary practice location
29201 Telegraph Rd
Suite 550
Southfield, MI 48034-1331
Mailing address
25797 Arcadia Dr
Novi, MI 48374-2444
Phone (248) 213-0501
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 359631 | Other | MI | MHN |
| 4449385 | Other | MI | AETNA INS CO |
| 11543639 | Other | MI | CAQH |
| 253315 | Other | MI | COMP PSYCH |
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 |
|---|---|---|---|
| 6801014015 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downriver Mental Health Clinic PC | Clinical | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063440568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25797 ARCADIA DR",
"city": "NOVI",
"state": "MI",
"postal_code": "483742444",
"telephone_number": "248-213-0501",
"fax_number": "248-213-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29201 TELEGRAPH RD",
"address_2": "SUITE 550",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341331",
"telephone_number": "248-213-0501",
"fax_number": "248-213-0521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEACH",
"first_name": "PATRICIA",
"middle_name": "F",
"credential": "LMSW, ACSW, BCD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801014015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "359631",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INS CO",
"identifier": "4449385",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11543639",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMP PSYCH",
"identifier": "253315",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
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.