Active NPI
Nicole Beverly, LMSW
- School Social Worker
- Ann Arbor, MI
National Provider Identifier
1467364349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 6801086120
- Practice address
- 1819 S Wagner Rd
Ann Arbor, MI 48103-9715 - Phone
- (734) 994-8100
- NPI assigned
- Sep 17, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 6801086120 | MI | Primary |
Addresses
Primary practice location
1819 S Wagner Rd
Ann Arbor, MI 48103-9715
Mailing address
1819 S Wagner Rd
Ann Arbor, MI 48103-9715
Phone (734) 994-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1467364349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 S WAGNER RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481039715",
"telephone_number": "734-994-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 S WAGNER RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481039715",
"telephone_number": "734-994-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVERLY",
"first_name": "NICOLE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-17",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MI",
"license": "6801086120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.