Active NPI
Beth Embry, LCSW
- Clinical Social Worker
- Evansville, IN
National Provider Identifier
1073858882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34007210A
- Practice address
- 5011 Washington Ave Ste 4
Evansville, IN 47715-4861 - Phone
- (812) 455-0233
- Fax
- (812) 909-9240
- NPI assigned
- Dec 5, 2012
- 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 | 34007210A | IN | Primary |
Addresses
Primary practice location
5011 Washington Ave Ste 4
Evansville, IN 47715-4861
Mailing address
5011 Washington Ave Ste 4
Evansville, IN 47715-4861
Phone (812) 455-0233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161220000418 | IN | Practitioner - Clinical Social Worker | 3173804713 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34007210A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simpatico Counseling, LLC | Clinical | Current | Accepting new patients |
| Gilkey Chiropractic Clinic, Inc | Past | Accepting new patients |
Locations
5011 Washington Ave
Ste 4
Evansville, IN 47715
Phone (812) 455-0233
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 and National Provider Directory roles.
-
- Chiropractor
- Newburgh, IN
- NPI 1386725976
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5011 Washington Ave
Suite 4
Evansville, IN 47715-4861
Phone (812) 455-0233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1073858882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5011 WASHINGTON AVE STE 4",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477154861",
"telephone_number": "812-455-0233",
"fax_number": "812-909-9240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5011 WASHINGTON AVE STE 4",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477154861",
"telephone_number": "812-455-0233",
"fax_number": "812-909-9240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMBRY",
"first_name": "BETH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-05",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34007210A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.