Edith Caroly Beaujon, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

5205 Ordsall PL
Virginia Beach, VA 23455-6884

Phone

(917) 378-0253

NPI assigned

Dec 12, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Edith Carolyn Bogusky Former name

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Miranda Communications , Inc

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1528456183
  Medicare reassignment NPD
• Center for Advanced Psychological Services

  • Clinical Psychologist
  • Norfolk, VA
  • NPI 1275796948
  NPD (past)
• Miranda Communication

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1376948943
  NPD (past)

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1689942161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 ORDSALL PL",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556884",
            "telephone_number": "917-378-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 ORDSALL PL",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556884",
            "telephone_number": "917-378-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUJON",
        "first_name": "EDITH",
        "middle_name": "CAROLY",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDITH",
            "last_name": "BOGUSKY",
            "middle_name": "CAROLYN",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meaghan McNeal Beasley, PHARMD
• Susan C Beasley
• Barbara Terese Beatty, LPC, NCC, CSAC
• Maxine Ruth Beatty, MD
• Hailey Beaudry, PA-C, RDN
• Brian L Beaulieu, PT, MPT, OCS,CMTPT
• Elizabeth Beaume-Vinasco
• Beautiful and Joyful Ventures Inc
• Beaver Sloan Christian and Mental Health Counseling
• Margaret Beaver, CPNP-PC, MSN, RN

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.