Active NPI
Janine Kay Beatty, MA, LBSW
- Social Worker
- Sandusky, MI
National Provider Identifier
1295827038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6802085566
- Practice address
- 217 E Sanilac Rd
Sandusky, MI 48471-1383 - Phone
- (810) 648-4327
- Fax
- (810) 648-4338
- NPI assigned
- Sep 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6802085566 | MI | Primary |
Addresses
Primary practice location
217 E Sanilac Rd
Sandusky, MI 48471-1383
Mailing address
4160 S Van Dyke Rd
Marlette, MI 48453-9101
Phone (989) 635-4743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6802085566 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295827038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4160 S VAN DYKE RD",
"city": "MARLETTE",
"state": "MI",
"postal_code": "484539101",
"telephone_number": "989-635-4743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 E SANILAC RD",
"city": "SANDUSKY",
"state": "MI",
"postal_code": "484711383",
"telephone_number": "810-648-4327",
"fax_number": "810-648-4338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTY",
"first_name": "JANINE",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "MA, LBSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6802085566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandusky, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.