Amanda S Bebeau, MSW, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1451108 Issued in OH

Practice address

4159 N Holland Sylvania Rd
Suite 205
Toledo, OH 43623-4803

Phone

(419) 318-5286

NPI assigned

Aug 21, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1629326723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4159 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE 205",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234803",
            "telephone_number": "419-318-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4159 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE 205",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234803",
            "telephone_number": "419-318-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEBEAU",
        "first_name": "AMANDA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1200760",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1451108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0190818",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Beauregard
• Beautiful Gate Community and Behavioral Health Center
• Courtney Beaver, MD
• Carroll Beavers, M.A. CCC-SLP
• Jillian Shanel Beavers
• Asif Becher
• Jennifer Beck-Zenz, BA ; RBT
• Jennifer Louise Beck, LPCC
• Kimberly K Beck, CRNA
• Madeline Grace Beck

• Clinical Social Worker in Toledo, OH
• Providers in Toledo, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.