Melissa Beagle

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

091370 Issued in NY

Practice address

3 Bridge St
Carthage, NY 13619-1360

Phone

(315) 493-3300

NPI assigned

Sep 14, 2017

Sex

Female

Sole proprietor

No

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.

• Carthage Area Hospital Inc

  • Critical Access Hospital
  • Carthage, NY
  • NPI 1053497388
  Medicare reassignment NPD NY, Social Worker
• Carthage Area Hospital Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Ogdensburg, NY
  • NPI 1013759166
  NPD
• Carthage Area Hospital, Inc.

  • Obstetrics & Gynecology Physician
  • Carthage, NY
  • NPI 1528279817
  NPD
• North Country Transitional Living Services, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Watertown, NY
  • NPI 1538294699
  NPD (past)
• Thrive Wellness and Recovery, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Watertown, NY
  • NPI 1659389021
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in NY

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbeagle@cahclinics.medentdirect.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 2, 2022.

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1518486281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WEST ST",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136199703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BRIDGE ST",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136191360",
            "telephone_number": "315-493-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAGLE",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091370",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "100962",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06851821",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mirza Maqbool Ashraf, M.D.
• Michelle A Auricchio, RN
• Teresa M. Bach, D.C.
• Violet Mgeni Baruti-Stevens, PHMNP
• Michael William Baumann, MS, LMFT
• Jocelyn C Beane, M.D.
• Pauline Beck, LMSW
• Shawna Rae Berry, LMSW
• Maryellen Blevins, PA
• Kristen Bloom, MHC

• All providers in Carthage, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.