Active NPI
Beverly June Coursey, LCSW
- Clinical Social Worker
- Colorado Springs, CO
National Provider Identifier
1063792463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS12613
- Practice address
- 1650 Cochrane Cir
B7500 Fort Carson
Colorado Springs, CO 80913-4603 - Phone
- (719) 503-7869
- NPI assigned
- Aug 17, 2011
- Last updated
- Sep 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS12613 | CA | Primary |
| Clinical Social Worker | 1041C0700X | LCSW 3449 | HI |
Addresses
Primary practice location
1650 Cochrane Cir
B7500 Fort Carson
Colorado Springs, CO 80913-4603
Mailing address
6755 Delmonico Dr
Apt 303
Colorado Springs, CO 80919-1339
Phone (808) 346-9743
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS12613 | CA | MD | Clinical Social Worker |
| LCSW 3449 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378684800000",
"number": "1063792463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6755 DELMONICO DR",
"address_2": "APT 303",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809191339",
"telephone_number": "808-346-9743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIR",
"address_2": "B7500 FORT CARSON",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809134603",
"telephone_number": "719-503-7869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURSEY",
"first_name": "BEVERLY",
"middle_name": "JUNE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-17",
"last_updated": "2013-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS12613",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW 3449",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.