Individual provider Active NPI

Eva Varie Beavan, MSW, LCSW-C

  • Clinical Social Worker
  • Frederick, MD
National Provider Identifier
1194806927
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10608 Issued in MD
Practice address
350 Montevue LN
Frederick, MD 21702-8214
Phone
(301) 600-3114
Fax
(301) 600-3111
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10608 MD Primary

Addresses

Primary practice location

350 Montevue LN
Frederick, MD 21702-8214

Mailing address

350 Montevue LN
Frederick, MD 21702-8214
Phone (301) 600-3114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041004000130 MD Practitioner - Clinical Social Worker 0941279236 Reassigns benefits to 3 organizations
I20250828002383 DC Practitioner - Clinical Social Worker 0941279236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Quince Orchard Psychotherapy LLCGroup PAC ID 5395194302, 30 clinicians
Zenbees Psychiatry and Wellness ServicesGroup PAC ID 6103239801, 9 clinicians

Practice addresses (Care Compare)

10 N Jefferson St
Suite 202
Frederick, MD 21701-4865
Phone (240) 750-6467

180 Thomas Johnson Dr
Suite 100
Frederick, MD 21702-4491
Phone (410) 693-7401

9707 Key W Ave
Suite 100
Rockville, MD 20850-3992
Phone (240) 750-6467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10608MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Quince Orchard Psychotherapy LLC Clinical CurrentSince Jul 1, 2025 Accepting new patients
Oasis the Mental Health Center, LLC CurrentSince Dec 1, 2025 Accepting new patients
Zenbees Psychiatry and Wellness Services CurrentSince Aug 1, 2025 Accepting new patients
Greater Baltimore Counseling Center, LLC Clinical PastSince Feb 1, 1996 Accepting new patients

Locations

10 N Jefferson St
Ste 202
Frederick, MD 21701
Phone (240) 750-6468

180 Thomas Johnson Dr
Ste 100
Frederick, MD 21702
Phone (301) 668-9707

30 Greenway St NW
Ste 5
Glen Burnie, MD 21061
Phone 41076090790

Organizations & group practices 4

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194806927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MONTEVUE LN",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217028214",
            "telephone_number": "301-600-3114",
            "fax_number": "301-600-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MONTEVUE LN",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217028214",
            "telephone_number": "301-600-3114",
            "fax_number": "301-600-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVAN",
        "first_name": "EVA",
        "middle_name": "VARIE",
        "credential": "MSW, LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.