Jessica Beattie, LLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6851116717 Issued in MI

Practice address

233 Fulton St E
Grand Rapids, MI 49503-3200

Phone

(346) 861-6490

NPI assigned

Sep 7, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Heartstone Guidance Center LLC

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1831605567
  NPD (past)

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1528844271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 N DIANE CT",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486589702",
            "telephone_number": "517-614-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 FULTON ST E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033200",
            "telephone_number": "346-861-6490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 N Diane Ct",
            "address_purpose": "LOCATION",
            "city": "Standish",
            "state": "MI",
            "postal_code": "486589702",
            "country_code": "US",
            "telephone_number": "517-614-4766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEATTIE",
        "first_name": "JESSICA",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851116717",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851116717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bear Chiropractic Corporation
• Kaitlin Joy Beardsley
• Kelly Kathleen Bearss, R.D.H.
• Jacqueline Beasley
• Kendra Beasley, LMSW
• Abigail Beatty
• Chloe Beatty
• Madison Beatty
• Christina Marie Beaty, PA-C
• Jason John Beauch, R.PH.

• Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.