Active NPI
Beverly Perry, LSW
- Clinical Social Worker
- Columbus, OH
National Provider Identifier
1164974234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S0600746
- Practice address
- 1515 E Broad St
Columbus, OH 43205-1550 - Phone
- (614) 251-7712
- NPI assigned
- Oct 25, 2016
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S0600746 | OH | Primary |
Addresses
Primary practice location
1515 E Broad St
Columbus, OH 43205-1550
Mailing address
1515 E Broad St
Columbus, OH 43205-1550
Phone (614) 251-7712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S0600746 | Other | OH | LSW |
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 |
|---|---|---|---|
| S0600746 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477353600000",
"number": "1164974234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 E BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432051550",
"telephone_number": "614-251-7712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 E BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432051550",
"telephone_number": "614-251-7712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "BEVERLY",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-25",
"last_updated": "2016-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S0600746",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LSW",
"identifier": "S0600746",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.