Active NPI
Elizabeth Bevan, LCSW
- Clinical Social Worker
- Bridgeton, NJ
National Provider Identifier
1235459363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SL05136300
- Practice address
- 53 S Laurel St
Second Floor
Bridgeton, NJ 08302-1946 - Phone
- (856) 451-4700
- Fax
- (856) 451-8685
- NPI assigned
- Jun 11, 2010
- Last updated
- Jun 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SL05136300 | NJ | Primary |
Addresses
Primary practice location
53 S Laurel St
Second Floor
Bridgeton, NJ 08302-1946
Mailing address
53 S Laurel St
Second Floor
Bridgeton, NJ 08302-1946
Phone (856) 451-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Care, Inc.
Practice addresses (Care Compare)
715 Delsea Dr N
Glassboro, NJ 08028-1435
Phone (856) 451-4700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05136300 | NJ | MD | Clinical Social Worker |
Interoperability endpoints
- elizabeth.bevan.p1@direct.cchn.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276214400000",
"number": "1235459363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 S LAUREL ST",
"address_2": "SECOND FLOOR",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083021946",
"telephone_number": "856-451-4700",
"fax_number": "856-451-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 S LAUREL ST",
"address_2": "SECOND FLOOR",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083021946",
"telephone_number": "856-451-4700",
"fax_number": "856-451-8685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVAN",
"first_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-11",
"last_updated": "2010-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SL05136300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeton, NJ
- Michelle Hazel Bear, DO
- Kimberly Benberry, DDS
- Courtney Bender, FNP-C
- Dorothy L Bendler-Cranmer, RPH
- Passion J J Bennett, LSW
- Robert Arnold Birdsall, PHARM D
- BKT High Quality Healthcare Agency (Dignity Nursing & Staffing Solutions)
- BKT High Quality Healthcare Agency LLC (Dignity Nursing Solutions)
- Theresa L Black, LPC, NCC, ACS
- Kathryn V Blackwell, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.