Active NPI
Louis A Beaulieu Jr.
- Social Worker
- Beverly, MA
National Provider Identifier
1396188249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 30 Folly Pond Rd Apt 23
Beverly, MA 01915-5381 - Phone
- (978) 473-2889
- NPI assigned
- Apr 10, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
30 Folly Pond Rd Apt 23
Beverly, MA 01915-5381
Mailing address
30 Folly Pond Road #23
Beverly, MA 01915
Phone (978) 473-2889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | MA | NONE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365552000000",
"number": "1396188249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 FOLLY POND ROAD #23",
"city": "BEVERLY",
"state": "MA",
"postal_code": "01915",
"telephone_number": "978-473-2889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 FOLLY POND RD APT 23",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019155381",
"telephone_number": "978-473-2889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAULIEU",
"first_name": "LOUIS",
"middle_name": "A",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-10",
"last_updated": "2013-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.