Active NPI
Kimberleigh Ann Beasley, LMSW
- Social Worker
- Owings Mills, MD
National Provider Identifier
1245022995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- G09298
- Practice address
- 9199 Reisterstown Rd Ste 105B
Owings Mills, MD 21117-4513 - Phone
- (410) 929-4793
- NPI assigned
- May 20, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | G09298 | MD | |
| Social Worker | 104100000X | G09298 | MD | Primary |
Addresses
Primary practice location
9199 Reisterstown Rd Ste 105B
Owings Mills, MD 21117-4513
Mailing address
205 Saint Mark Way Apt 417
Westminster, MD 21158-4118
Phone (443) 226-4970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G09298 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1245022995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 SAINT MARK WAY APT 417",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211584118",
"telephone_number": "443-226-4970",
"fax_number": "443-226-4970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9199 REISTERSTOWN RD STE 105B",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174513",
"telephone_number": "410-929-4793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASLEY",
"first_name": "KIMBERLEIGH",
"middle_name": "ANN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-20",
"last_updated": "2025-05-20",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "G09298",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "G09298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.