Individual provider Active NPI

Michelle J. Beaupre, LCSW

  • Clinical Social Worker
  • Rancho Santa Fe, CA
National Provider Identifier
1295237139
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW82215 Issued in CA
Practice address
16950 Via de Santa Fe # 5060-118
Rancho Santa Fe, CA 92091-4606
Phone
(760) 504-9375
NPI assigned
Mar 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW82215 CA Primary
Clinical Social Worker 1041C0700X LC16154 ME

Addresses

Primary practice location

16950 Via de Santa Fe # 5060-118
Rancho Santa Fe, CA 92091-4606

Mailing address

PO Box 501436
San Diego, CA 92150-1436
Phone (760) 504-9375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240110000342 CA Practitioner - Clinical Social Worker 9638520067 Practice locations: Rancho Santa Fe, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW82215CAMDClinical Social Worker
82215CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1295237139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 501436",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921501436",
            "telephone_number": "760-504-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16950 VIA DE SANTA FE # 5060-118",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920914606",
            "telephone_number": "760-504-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUPRE",
        "first_name": "MICHELLE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW82215",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC16154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Fe, CA

Sources for this page

Verify at the official NPI Registry.