Novella S Beaver, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904001632 Issued in VA

Practice address

424 Hamilton Blvd
South Boston, VA 24592-5200

Phone

(434) 572-2936

Fax

(434) 572-4665

NPI assigned

Aug 7, 2006

Last updated

May 24, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Southside Behavioral Health

  • Community/Behavioral Health Agency
  • Clarksville, VA
  • NPI 1700890761

  Clinical

  NPD
• Beaver Sloan Christian and Mental Health Counseling

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1780964759
  NPD (past)
• Center for Personal Growth & Change

  • Mental Health Counselor
  • Norfolk, VA
  • NPI 1053450817
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1205845286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 INDUSTRIAL PKWY",
            "address_2": "PO BOX 1478",
            "city": "CLARKSVILLE",
            "state": "VA",
            "postal_code": "239273140",
            "telephone_number": "434-575-6738",
            "fax_number": "434-374-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 HAMILTON BLVD",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245925200",
            "telephone_number": "434-572-2936",
            "fax_number": "434-572-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVER",
        "first_name": "NOVELLA",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010390419",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Lynn Barker, FNP-C
• Jinean Tanette Barnes, DNP, FNP-BC
• John W Bass Jr., RPH
• Habib Fouad Bassil, MD
• Marcus Bates, LCSW
• Behavioral Health Associates, Inc.
• Berry Hill Nursing Home, Inc. (Berry Hill Nursing Home)
• Kenatta Bethea, PMHNP-BC
• Betts Medical Supplies, LLC.
• Bio-Medical Applications of Virginia, Inc. (Fresenius Kidney Care of Halifax)

• Clinical Social Worker in South Boston, VA
• Providers in South Boston, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.