Beatrice Berry

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW002546 Issued in GA

Practice address

4500 Shannon Blvd Apt 6B
Union City, GA 30291-1533

Phone

(770) 774-3493

NPI assigned

Jan 31, 2013

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 31, 2013.

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1558600296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SHANNON BLVD APT 6B",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302911533",
            "telephone_number": "770-774-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SHANNON BLVD APT 6B",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302911533",
            "telephone_number": "770-774-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "BEATRICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kesha Ballard
• Kenneth Baskett
• Mary S Batson, REGISTERED NURSE
• Deborah Ann Bean, RN BSN
• Deshawn D Bellamy-Douglas
• Jaelyn Shantel Blackwell
• Dwight D Blake, MD
• Valencia L Blanks
• Tammara R Blunt, CNA
• Dionne Tehsheen Bravo, FNP-C

• All providers in Union City, GA
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.