Mina Lani Beveney, PHD, LCSW, MSW, MED
Individual provider Active NPI Clinical Social Worker · Dover, DE
NPI 1255820643 · NPPES record last updated Oct 4, 2023
Key facts
- NPI
- 1255820643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- Q1-0011824 (DE)
- Practice address
- 8 The Green, Suite 8392
Dover, DE 19901 - Phone
- (484) 361-4611
- NPI assigned
- May 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Education, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q1-0011824 | DE | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunbird Counseling & Consulting LLC | Clinical | Current |
Accepting new patients |
Locations
523 Capitol Trl
Ste B
Newark, DE 19711
Phone (302) 467-2646
523 Capitol Trl
Newark, DE 19711
Phone (302) 354-0074
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Clinical Social Worker | 1041C0700X | Q1-0011824 | DE | Yes |
Addresses
Primary practice location
8 The Green, Suite 8392
Dover, DE 19901
Mailing address
8 The Green, Suite 8392
Dover, DE 19901
Phone (484) 361-4611
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q1-0011824 | Other | DE | DIVISION OF PROFESSIONAL REGULATION |
Other providers in Dover, DE
- Better Life Chiropractic & Rehabilitation Center
- Better Living Maternity, LLC
- Better Med Services LLC
- Sara M Bevan
- Mounica Bevara
- Barbara Beyer
- Beyond Speech Therapy, LLC
- BG Laboratory, Inc
- Ranjit Kaur Bhangu
- Khushboo Vijay Bhatia
All providers in Dover, DE · Clinical Social Worker in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.