William Temple Beverly, LCSW, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW-1510 Issued in CO

Practice address

828 W 7TH St
Walsenburg, CO 81089-2315

Phone

(719) 671-7793

Fax

(877) 359-1299

NPI assigned

Aug 27, 2010

Last updated

Oct 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• William T Beverly

  • Adult Mental Health Clinic/Center
  • Monte Vista, CO
  • NPI 1043080054

  Clinical

  NPD (past) Authorized official
• William T Beverly

  • Adult Mental Health Clinic/Center
  • Alamosa, CO
  • NPI 1699545608

  Clinical

  NPD (past) Authorized official
• William T Beverly

  • Adult Mental Health Clinic/Center
  • Walsenburg, CO
  • NPI 1720858715
  Authorized official Same address or phone
• William T Beverly

  • Adult Mental Health Clinic/Center
  • Trinidad, CO
  • NPI 1811767825

  Clinical

  NPD (past) Authorized official

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1184930117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810890871",
            "telephone_number": "719-671-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 W 7TH ST",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810892315",
            "telephone_number": "719-671-7793",
            "fax_number": "877-359-1299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "726 3rd St",
            "address_purpose": "LOCATION",
            "city": "Alamosa",
            "state": "CO",
            "postal_code": "811012519",
            "country_code": "US",
            "telephone_number": "719-671-7793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "739 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Monte Vista",
            "state": "CO",
            "postal_code": "811441462",
            "country_code": "US",
            "telephone_number": "719-671-7793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "149 E Main St",
            "address_purpose": "LOCATION",
            "city": "Trinidad",
            "state": "CO",
            "postal_code": "810822749",
            "country_code": "US",
            "telephone_number": "719-671-7793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEVERLY",
        "first_name": "WILLIAM",
        "middle_name": "TEMPLE",
        "name_prefix": "Dr.",
        "credential": "LCSW, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-27",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW-1510",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CO",
            "license": "0473664",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49330888",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS, MEDICAID",
            "identifier": "701760",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Andreatta, PT
• Bradley T Atchison, MS OTR, PHD
• Heather Barnes, CAS
• Susan K Bell, NP
• Eva Marie Benine
• Sherri Lynn Blanchard, M.D.
• Paul Michael Brunner, MSW, LCSW
• Karen D Campbell, FNP
• Charles Wohlwend Ddspc (Eagleridge Dental)
• Ronald Lavern Cochran, CRNA

• Clinical Social Worker in Walsenburg, CO
• Providers in Walsenburg, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.