Individual provider Active NPI

Beverly A Taylor, LCSW

  • Clinical Social Worker
  • Birmingham, AL
National Provider Identifier
1679715452
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0527C Issued in AL
Practice address
3267A Warringwood Dr
Birmingham, AL 35216-5131
Phone
(205) 447-8154
NPI assigned
Mar 25, 2009
Last updated
Mar 25, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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 0527C AL Primary

Addresses

Primary practice location

3267A Warringwood Dr
Birmingham, AL 35216-5131

Mailing address

3267A Warringwood Dr
Birmingham, AL 35216-5131
Phone (205) 447-8154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040130000252 AL Practitioner - Clinical Social Worker 1557264116 Reassigns benefits to 4 organizations
I20181129000076 TN Practitioner - Clinical Social Worker 1557264116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cosby and Cosby Counseling and Consultation LLCGroup PAC ID 4284859323, 7 clinicians

Practice addresses (Care Compare)

109 Medical Park Dr
Suite C
Andalusia, AL 36420-5364
Phone (334) 222-1818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5022TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Green Mercy Health Services Authority an Affiliate of Uab CurrentSince Jul 1, 2021 Accepting new patients
Guiding Star Mental Health CurrentSince Jan 28, 2025 Accepting new patients
Cooper Green Mercy Health Services Authority an Affiliate of Uab CurrentSince Jul 1, 2021 Accepting new patients
Cosby & Cosby Counseling & Consultation LLC Clinical CurrentSince Apr 28, 2024 Accepting new patients
Mind Over Matter LLC CurrentSince Nov 6, 2021 Accepting new patients
TP-Health Incorporated CurrentSince Jan 28, 2024 Accepting new patients
Right Track Medical Group, Inc CurrentSince Dec 1, 2020 Accepting new patients
Senior Psych Solutions Corp Clinical Past Accepting new patients
TP-Health Ca PC Past Accepting new patients

Locations

109 Medical Park Dr
Ste C
Andalusia, AL 36420
Phone (334) 222-0019

614 W Bypass
Andalusia, AL 36420
Phone (334) 222-0119

1509 6th Ave S
Birmingham, AL 35233
Phone (205) 930-3200

9032 Memorial Pkwy SW
Ste 1057
Huntsville, AL 35802
Phone (832) 916-2677

511 Brantley St
Opp, AL 36467
Phone (334) 493-3240

657 Helen Keller Blvd
Tuscaloosa, AL 35404
Phone (205) 255-3784

4810 Riverstone Blvd
Ste 1
Missouri City, TX 77459

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1679715452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3267A WARRINGWOOD DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352165131",
            "telephone_number": "205-447-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3267A WARRINGWOOD DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352165131",
            "telephone_number": "205-447-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BEVERLY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "0527C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.