Keturah Y Beckham, MSW, LCSW, LCAS-A,

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C015351 Issued in NC

Practice address

189 Wind Chime CT Ste 202
Raleigh, NC 27615-6480

Phone

(984) 266-3346

NPI assigned

Feb 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Respira Counseling Services

  • Mental Health Counselor
  • Sanford, NC
  • NPI 1760194898
  NPD (past)

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1437858735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40691",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276290691",
            "telephone_number": "919-637-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 WIND CHIME CT STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156480",
            "telephone_number": "984-266-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKHAM",
        "first_name": "KETURAH",
        "middle_name": "Y",
        "credential": "MSW, LCSW, LCAS-A,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Young Becker, MD
• Denis I Becker, MD
• Jeffrey Blake Becker Jr., MS, MPH, LCSWA
• Tonya Lynn Becker
• Aileen Jenna Beckham, MD
• Rachel Georgia Beckham, WHNP-BC
• Molly Beckmann, PA-C
• Alexandra Nicole Beckwith, LPC
• Lisa Donella Beckwith, PHARMD
• Velvet Denise Beckwith, LCAS

• All providers in Raleigh, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.