Individual provider Active NPI

Beth Embry, LCSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1073858882
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007210A Issued in IN
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

Updated by the provider on Apr 10, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161220000418 IN Practitioner - Clinical Social Worker 3173804713 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34007210AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Simpatico Counseling, LLC Clinical CurrentSince Apr 1, 2020 Accepting new patients
Gilkey Chiropractic Clinic, Inc PastSince Apr 1, 2020 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.

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

Verify at the official NPI Registry.