Individual provider Active NPI

Laurie Jane Beyer, MSW, LISW

  • Clinical Social Worker
  • Duluth, MN
National Provider Identifier
1215306089
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13619 Issued in MN
Practice address
324 West Superior Street
Suite #505
Duluth, MN 55802-1725
Phone
(218) 722-4880
Fax
(218) 722-4662
NPI assigned
Sep 22, 2015
Last updated
Sep 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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 13619 MN Primary

Addresses

Primary practice location

324 West Superior Street
Suite #505
Duluth, MN 55802-1725

Mailing address

324 West Superior Street
Suite #505
Duluth, MN 55802-1725
Phone (218) 722-4880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170928002675 MN Practitioner - Clinical Social Worker 2567737653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

324 W Superior St
Suite 505
Duluth, MN 55802-1725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1215306089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 WEST SUPERIOR STREET",
            "address_2": "SUITE #505",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021725",
            "telephone_number": "218-722-4880",
            "fax_number": "218-722-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 WEST SUPERIOR STREET",
            "address_2": "SUITE #505",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021725",
            "telephone_number": "218-722-4880",
            "fax_number": "218-722-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYER",
        "first_name": "LAURIE",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "13619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.