Michael Walter Beach, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011985 Issued in VA

Practice address

107 S 5TH St
Richmond, VA 23219-3825

Phone

(804) 819-4000

NPI assigned

Jul 27, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michael Walter Butt Former name

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Chesterfield Family Guidance CenterGroup PAC ID 5799762712, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chesterfield Family Guidance Center

  • Clinical Psychologist
  • Richmond, VA
  • NPI 1225192909
  Medicare reassignment Care Compare group NPD
• Family Focus, LLC

  • Case Management Agency
  • Henrico, VA
  • NPI 1942237243
  Medicare reassignment NPD
• Family Focus, LLC

  • Mental Health Counselor
  • Henrico, VA
  • NPI 1164567046
  NPD (past)

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1346859204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6114 DUCK COVE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122235",
            "telephone_number": "352-502-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S 5TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232193825",
            "telephone_number": "804-819-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6114 Duck Cove Rd",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231122235",
            "country_code": "US",
            "telephone_number": "352-502-5129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2727 Enterprise Pkwy Ste 202",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232946341",
            "country_code": "US",
            "telephone_number": "804-261-2090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEACH",
        "first_name": "MICHAEL",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "BUTT",
            "middle_name": "WALTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• BCS of Virginia
• Be Mindful Outreach Service LLC
• Be the Change Counseling Services, LLC
• Kristen Tomlinson Beabout, DDS
• April Nicole Beach, FNP
• William R Beach, MD
• Beacon Behavioral Health and Consulting, LLC
• Beacon Mental Health and Wellness PLLC
• Beacon of Wellness, LLC
• Allison Beale, PT, DPT

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.