Individual provider Active NPI

John L Beer, MSW, LISW

  • Clinical Social Worker
  • Urbana, OH
National Provider Identifier
1588875587
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0004398 Issued in OH
Practice address
1150 Scioto St
Suite 200
Urbana, OH 43078-2289
Phone
(937) 652-4555
NPI assigned
May 24, 2007
Last updated
Aug 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-0004398 OH Primary

Addresses

Primary practice location

1150 Scioto St
Suite 200
Urbana, OH 43078-2289

Mailing address

4949 Urbana Rd Ste 201
Springfield, OH 45502-8387
Phone (937) 390-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0004398OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1588875587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 URBANA RD STE 201",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455028387",
            "telephone_number": "937-390-3800",
            "fax_number": "937-390-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 SCIOTO ST",
            "address_2": "SUITE 200",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782289",
            "telephone_number": "937-652-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEER",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MSW, LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0004398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, OH

Sources for this page

Verify at the official NPI Registry.