Individual provider Active NPI

Lisa M Beitz, LCSW

  • Clinical Social Worker
  • Ashland, VA
National Provider Identifier
1437323045
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904003833 Issued in VA
Practice address
12300 Washington Hwy
Ashland, VA 23005-7646
Phone
(804) 365-4270
Fax
(804) 365-4252
NPI assigned
Apr 15, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904003833VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hanover County Board of Supervisors Past Accepting new patients
Hanover County Board of Supervisors Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904003833 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

12300 Washington Hwy
Ashland, VA 23005-7646

Mailing address

12300 Washington Hwy
Ashland, VA 23005-7646
Phone (804) 365-4270

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 15, 2008.

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1437323045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 WASHINGTON HWY",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057646",
            "telephone_number": "804-365-4270",
            "fax_number": "804-365-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 WASHINGTON HWY",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057646",
            "telephone_number": "804-365-4270",
            "fax_number": "804-365-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEITZ",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.