Individual provider Active NPI

Jean Ellen Bey, LCSW

  • Clinical Social Worker
  • Lake City, FL
National Provider Identifier
1679845952
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9551 Issued in FL
Practice address
618 S Marion Ave
Lake City, FL 32025-5841
Phone
(386) 755-3016
Fax
(386) 754-7391
NPI assigned
Feb 2, 2012
Last updated
Dec 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW9551 FL
Clinical Social Worker 1041C0700X SW9551 FL Primary

Addresses

Primary practice location

618 S Marion Ave
Lake City, FL 32025-5841

Mailing address

3943 NW 27TH LN
Gainesville, FL 32606-6683
Phone (352) 318-9766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW9551FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1679845952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3943 NW 27TH LN",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066683",
            "telephone_number": "352-318-9766",
            "fax_number": "386-754-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 S MARION AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255841",
            "telephone_number": "386-755-3016",
            "fax_number": "386-754-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEY",
        "first_name": "JEAN",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW9551",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.