Individual provider Active NPI

Sarah Elizabeth Beavers

  • Social Worker
  • Wixom, MI
National Provider Identifier
1083396774
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6851108607 Issued in MI
Practice address
28345 Beck Rd Ste 110
Wixom, MI 48393-4733
Phone
(734) 600-7873
NPI assigned
Aug 2, 2023
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 6851108607 MI Primary

Addresses

Primary practice location

28345 Beck Rd Ste 110
Wixom, MI 48393-4733

Mailing address

61151 Greenwood Dr
South Lyon, MI 48178-1712
Phone (810) 772-8307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11887 Lucile St
Culver City, CA 90230-6269

28345 Beck Rd
Suite 110
Wixom, MI 48393-4745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851108607MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Psychiatry of Michigan PLLC Single Specialty CurrentSince Jul 24, 2023 Accepting new patients
Pure Psychiatry of Michigan PLLC PastSince Aug 6, 2023 Accepting new patients
Pure Psychiatry of Michigan PLLC Past Accepting new patients
Pure Psychiatry of Michigan PLLC Past Accepting new patients
Pure Psychiatry of Michigan PLLC Past Accepting new patients
Pure Psychiatry of Michigan PLLC Past Accepting new patients

Locations

2755 Carpenter Rd
Ste 3SE
Ann Arbor, MI 48108
Phone (734) 548-6099

5715 Bella Rosa Blvd
Ste 200
Clarkston, MI 48348
Phone (248) 657-4639

39600 Garfield Rd
Ste F
Clinton Twp, MI 48038
Phone (586) 307-6566

1429 Flushing Rd
#B
Flushing, MI 48433
Phone (810) 380-5060

3031 Commerce Dr
Ste A
Fort Gratiot, MI 48059
Phone (810) 292-0557

5123 W St Joe Hwy
Ste 205
Lansing, MI 48917
Phone (517) 327-0360

3751 N Dixie Hwy
Monroe, MI 48162
Phone (734) 241-5200

9333 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 414-7231

9401 General Dr
Ste J
Plymouth, MI 48170
Phone (734) 335-1336

29600 Northwestern Hwy
Ste 100
Southfield, MI 48034
Phone (248) 353-0050

650 E Big Beaver Rd
Ste C
Troy, MI 48083
Phone (248) 781-8921

34841 Veterans Plz
Wayne, MI 48184
Phone (313) 292-7640

28345 Beck Rd
Ste 110
Wixom, MI 48393
Phone (248) 274-4560

1475 Ford Ave
Wyandotte, MI 48192
Phone (734) 258-8386

375 Eureka Rd
Ste B
Wyandotte, MI 48192
Phone (734) 225-9300

Organizations & group practices 6

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": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1083396774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61151 GREENWOOD DR",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781712",
            "telephone_number": "810-772-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28345 BECK RD STE 110",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483934733",
            "telephone_number": "734-600-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVERS",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851108607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wixom, MI

Sources for this page

Verify at the official NPI Registry.