Active NPI
Beda Janine Cain, LCSW
- Social Worker
- Athens, GA
National Provider Identifier
1124227178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CSW001294
- Practice address
- 170 Security Circle
Suite 102
Athens, GA 30602-3619 - Phone
- (706) 613-5456
- NPI assigned
- Jul 11, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CSW001294 | GA | Primary |
Addresses
Primary practice location
170 Security Circle
Suite 102
Athens, GA 30602-3619
Mailing address
2351 College Station Rd
PMB 537
Athens, GA 30605
Phone (706) 613-5456
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 |
|---|---|---|---|
| CSW001294 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1124227178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2351 COLLEGE STATION RD",
"address_2": "PMB 537",
"city": "ATHENS",
"state": "GA",
"postal_code": "30605",
"telephone_number": "706-613-5456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 SECURITY CIRCLE",
"address_2": "SUITE 102",
"city": "ATHENS",
"state": "GA",
"postal_code": "306023619",
"telephone_number": "706-613-5456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAIN",
"first_name": "BEDA",
"middle_name": "JANINE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "CSW001294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.