Beverly Jeanne Wright, LCSW, CASAC, CEAP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

029334.1 Issued in NY

Practice address

2014 Old Evergreen Pkwy
Indian Trail, NC 28079-8873

Phone

(631) 423-6809

Fax

(631) 423-8446

NPI assigned

Aug 26, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: beverlywright@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD
• Chiropractic Care of Long Island P.C.

  • Chiropractor
  • Huntington, NY
  • NPI 1790078160
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1285742775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 OLD EVERGREEN PKWY",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280798873",
            "telephone_number": "631-423-6809",
            "fax_number": "631-423-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 OLD EVERGREEN PKWY",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280798873",
            "telephone_number": "631-423-6809",
            "fax_number": "631-423-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "BEVERLY",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW, CASAC, CEAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-26",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R029334-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "029334.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "092031",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0055762/002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "107927",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terilyn Wilson, OTR/L
• Ashley Michele Wiltcher, AGPCNP-BC
• Nia Wiltz
• Winding Rhoades Therapy
• Kayla Dill Wise, NP
• Christopher William Wright, DC
• Tesia Robinson Wyatt, IBCLC
• Anna Batten Yarbrough, M.S., CCC-SLP
• Kan Wa Yeung, LAC
• Laura Lee Perlaky Young, O.D.

• Clinical Social Worker in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.