Stephanie Beaton, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801106312 Issued in MI

Practice address

3011 W Grand Blvd Ste 406
Detroit, MI 48202-3011

Phone

(734) 258-7086

NPI assigned

Feb 17, 2020

Last updated

Feb 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1629601729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 23RD ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481926015",
            "telephone_number": "734-747-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 W GRAND BLVD STE 406",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023011",
            "telephone_number": "734-258-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATON",
        "first_name": "STEPHANIE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosie F Beasley, NEMT SERVICES
• Sequoya Beasley
• Shamone Beasley
• Christopher Scott Beaten, C.S.W.
• Kathryn Beathard
• Daryl Ramone Beatty
• Karen C Beatty, NURSE PRACTITIONER
• Nicole Beatty, CENA
• Elexus Beauchamp
• Erin Elizabeth Beaudoin

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.