NPIMap

Individual provider Active NPI

Neena Konadu Beausoleil, MSW

  • Social Worker
  • Atlanta, GA
National Provider Identifier
1124564232
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1075 Peachtree Battle Ave NW
Atlanta, GA 30327-1317
Phone
(323) 620-6322
NPI assigned
Jan 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

1075 Peachtree Battle Ave NW
Atlanta, GA 30327-1317

Mailing address

1075 Peachtree Battle Ave NW
Atlanta, GA 30327-1317
Phone (323) 620-6322

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beau Care LLC Current Accepting new patients
Los Angeles Youth Network Past Accepting new patients
Los Angeles Youth Network Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1124564232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 PEACHTREE BATTLE AVE NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271317",
            "telephone_number": "323-620-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 PEACHTREE BATTLE AVE NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271317",
            "telephone_number": "323-620-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUSOLEIL",
        "first_name": "NEENA",
        "middle_name": "KONADU",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.