Individual provider Active NPI

Michael Thomas Beatty, LCSW

  • Clinical Social Worker
  • Seven Fields, PA
National Provider Identifier
1275892143
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017770 Issued in PA
Practice address
100 Northpointe Cir
Suite 306
Seven Fields, PA 16046-7851
Phone
(724) 772-4848
Fax
(724) 772-4888
NPI assigned
May 11, 2012
Last updated
Jun 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 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 CW017770 PA Primary

Addresses

Primary practice location

100 Northpointe Cir
Suite 306
Seven Fields, PA 16046-7851

Mailing address

100 Northpointe Cir
Suite 306
Seven Fields, PA 16046-7851
Phone (724) 772-4848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150714001322 PA Practitioner - Clinical Social Worker 7618280009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cranberry Psychological Center, Inc.Group PAC ID 3072501626, 45 clinicians

Practice addresses (Care Compare)

100 Northpointe Cir
Suite 306
Seven Fields, PA 16046-7851
Phone (724) 772-4848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW017770PAMDClinical Social Worker

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": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1275892143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NORTHPOINTE CIR",
            "address_2": "SUITE 306",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467851",
            "telephone_number": "724-772-4848",
            "fax_number": "724-772-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NORTHPOINTE CIR",
            "address_2": "SUITE 306",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467851",
            "telephone_number": "724-772-4848",
            "fax_number": "724-772-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-11",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seven Fields, PA

Sources for this page

Verify at the official NPI Registry.