Richard Beatty, MSW, LCSW

Individual provider Active NPI Clinical Social Worker · Tuscaloosa, AL

NPI 1275760183 · NPPES record last updated Jun 18, 2009

Key facts

NPI
1275760183
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
1713C (AL)
Practice address
3701 Loop Rd
Tuscaloosa, AL 35404-5015
Phone
(205) 554-2000
NPI assigned
Jun 18, 2009
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1713CALMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1713C AL Yes

Addresses

Primary practice location

3701 Loop Rd
Tuscaloosa, AL 35404-5015

Mailing address

3701 Loop Rd
Tuscaloosa, AL 35404-5015
Phone (205) 554-2000

Other providers in Tuscaloosa, AL

All providers in Tuscaloosa, AL · Clinical Social Worker in Alabama

Sources for this page

Verify at the official NPI Registry.