Beverly J. Sailors, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-12299 Issued in AZ

Practice address

2585 Miracle Mile Ste 104E
Suite 104E
Bullhead City, AZ 86442-7553

Phone

(928) 514-5227

Fax

(888) 421-3887

NPI assigned

May 27, 2008

Last updated

Oct 2, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Virtual Edge Therapies

  • Mental Health Counselor
  • Fort Mohave, AZ
  • NPI 1679197024
  NPD Authorized official

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1184882110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8466",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864278466",
            "telephone_number": "928-514-5227",
            "fax_number": "888-421-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 MIRACLE MILE STE 104E",
            "address_2": "SUITE 104E",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427553",
            "telephone_number": "928-514-5227",
            "fax_number": "888-421-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAILORS",
        "first_name": "BEVERLY",
        "middle_name": "J.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-12299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jude Ritheesh Roy, DDS
• Rta Hospice, Inc. (RTA Hospice & Palliative Care - Bullhead City)
• Rta Hospice, LLC
• Rta Hospice, LLC (Hospice Compassus - Bullhead City)
• Safeway Inc (Safeway Pharmacy #0248)
• Maria D Salamatin, MD
• Anthony Vincent Salari, NP
• Michael R. Salaysay, M.D.
• Honar Saleh
• Sam's Club Optical (Sam's Club Optical 30-4915)

• Clinical Social Worker in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.