Individual provider Active NPI

Beulah Coley, LCSW

  • Clinical Social Worker
  • Taylorsville, NC
National Provider Identifier
1609391846
Registry record updated Jun 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C016217 Issued in NC
Practice address
180 E Main Ave
Taylorsville, NC 28681-2515
Phone
(336) 927-5984
NPI assigned
Aug 9, 2017
Last updated
Jun 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2026

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 C016217 NC Primary

Addresses

Primary practice location

180 E Main Ave
Taylorsville, NC 28681-2515

Mailing address

180 E Main Ave
Taylorsville, NC 28681-2515
Phone (336) 927-5984

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
P01153NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jodi Province Counseling Services PLLC CurrentSince Jan 1, 2024 Accepting new patients
Children's Advocacy Center of Caldwell County, Inc. CurrentSince Jul 24, 2022 Accepting new patients

Locations

1051 Harper Ave SW
Lenoir, NC 28645
Phone (828) 754-6262

1260 College Ave
Ste 1
Wilkesboro, NC 28697
Phone 3368180733 ext. 101

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781913600000",
    "number": "1609391846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 E MAIN AVE",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286812515",
            "telephone_number": "336-927-5984",
            "fax_number": "336-927-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E MAIN AVE",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286812515",
            "telephone_number": "336-927-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEY",
        "first_name": "BEULAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, NC

Sources for this page

Verify at the official NPI Registry.