Patty Anne Beaty, BSW/MHP
Individual provider Active NPI Social Worker · Mount Vernon, IL
NPI 1134594559 · NPPES record last updated Dec 10, 2015
Key facts
- NPI
- 1134594559
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 16342 N Il Highway 37
Mount Vernon, IL 62864-8178 - Phone
- (618) 242-1510
- Fax
- (618) 242-6392
- NPI assigned
- Dec 10, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | IL | Yes |
Addresses
Primary practice location
16342 N Il Highway 37
Mount Vernon, IL 62864-8178
Mailing address
16342 N Il Hwy 37
Mount Vernon, IL 62864-5007
Phone (618) 242-1510
Other names
- Patricia Anne Beaty
Other providers in Mount Vernon, IL
- Becca Barth
- Amy Elizabeth Barton
- Jennifer K Bass
- Amanda Lyn Bathon
- Lindsey Bearden
- Cheryl Ann Beckmann
- Debbie Jane Bendersky
- Jason Dwight Bernard
- Jessica Marie Berry I
- Don Edward Bertschi
All providers in Mount Vernon, IL · Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.