Carol Beatty
Individual provider Active NPI Clinical Social Worker · Aptos, CA
NPI 1386845865 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386845865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCS14632 (CA)
- Practice address
- 8054 Valencia St
Aptos, CA 95003-3984 - Phone
- (831) 427-8553
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS14632 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS14632 | CA | Yes |
Addresses
Primary practice location
8054 Valencia St
Aptos, CA 95003-3984
Mailing address
1515 Hidden Terrace CT
Santa Cruz, CA 95062-2948
Phone (831) 476-7834
Other names
- Carol Beatty
Other providers in Aptos, CA
- Kimberly Ann Barry
- Thomas Edward Bastasch
- Deborah Sue Bates
- Lance Bauscher
- Rachel Bayly
- Lisa Beaudreau
- Beautiful Night LLC
- Melissa Bebee
- Russell J. Beggs
- Daniel B. Beilin
All providers in Aptos, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.