Individual provider Active NPI

Beverly D Pierce, MA, LCSW

  • Clinical Social Worker
  • White Plains, NY
National Provider Identifier
1639297955
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
043425 Issued in NY
Practice address
5 Old Mamaroneck Rd
Suite 1L
White Plains, NY 10605-1750
Phone
(914) 682-6690
Fax
(914) 682-6690
NPI assigned
Mar 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 043425 NY Primary

Addresses

Primary practice location

5 Old Mamaroneck Rd
Suite 1L
White Plains, NY 10605-1750

Mailing address

5 Old Mamaroneck Rd
Suite 1L
White Plains, NY 10605-1750
Phone (914) 682-6690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190419000552 NY Practitioner - Clinical Social Worker 1951634039 Reassigns benefits to 1 organization
Practice locations: White Plains, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

83 Old Mamaroneck Rd
White Plains, NY 10605-1903
Phone (914) 682-6690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
043425NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Student Assistance Services Corporation CurrentSince Mar 1, 2019 Accepting new patients
Westchester Psychological Services PLLC Past Accepting new patients
Suzanne Burger, Psy.D., P.C. PastSince May 25, 2021 Accepting new patients

Locations

660 White Plains Rd
Ste 100
Tarrytown, NY 10591
Phone (914) 332-1300

Organizations & group practices 3

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639297955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 OLD MAMARONECK RD",
            "address_2": "SUITE 1L",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051750",
            "telephone_number": "914-682-6690",
            "fax_number": "914-682-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 OLD MAMARONECK RD",
            "address_2": "SUITE 1L",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051750",
            "telephone_number": "914-682-6690",
            "fax_number": "914-682-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "BEVERLY",
        "middle_name": "D",
        "credential": "MA, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "043425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.