Cathleen Marie Wallen Beauseigneur, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW8480 Issued in FL

Practice address

607 SW Saint Lucie Cres
Suite 101
Stuart, FL 34994-2851

Phone

(716) 665-9805

NPI assigned

Mar 7, 2006

Last updated

Jun 13, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Chautauqua County Chapter of Nysarc Inc

  dba The Resource Center

  • Long Term Care Pharmacy
  • Jamestown, NY
  • NPI 1427095892
  NPD (past)
• Pine Valley Central School

  • Local Education Agency (LEA)
  • South Dayton, NY
  • NPI 1750421475
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1336116680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10864 SW BLUE MESA WAY",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872138",
            "telephone_number": "716-665-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 SW SAINT LUCIE CRES",
            "address_2": "SUITE 101",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942851",
            "telephone_number": "716-665-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLEN BEAUSEIGNEUR",
        "first_name": "CATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8480",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R056450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jalia Walker, HHA
• Jazzanay Cherish Unique Walker
• Kimberly Walker
• Judith V Wall, LCSW
• Antwion Nathaniel Wallace
• Betty L Wallen, CRNA
• Joshauna Audreyann Wallen
• Samanthia Wash Waller
• Nina Wallick, DMD
• Berdashia Moesha Walls

• Clinical Social Worker in Stuart, FL
• Providers in Stuart, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.