Individual provider Active NPI

Beverley Harry

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1699949768
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R022767-1 Issued in NY
Practice address
738 Crown St
Brooklyn, NY 11213-5442
Phone
(718) 363-0100
Fax
(718) 363-3005
NPI assigned
Apr 18, 2008
Last updated
Apr 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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 R022767-1 NY Primary

Addresses

Primary practice location

738 Crown St
Brooklyn, NY 11213-5442

Mailing address

738 Crown St
Brooklyn, NY 11213-5442
Phone (718) 363-0100

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
I20040904000048 NY Practitioner - Clinical Social Worker 7214903822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beverley Mack Harry Consulting Services IncGroup PAC ID 3476529082, 2 clinicians

Practice addresses (Care Compare)

738 Crown St
Apt 1F
Brooklyn, NY 11213-5423
Phone (718) 363-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
022767NYMDClinical Psychologist
R022767-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beverley Mack Harry Consulting Services Inc. CurrentSince May 26, 2015 Accepting new patients

Organizations & group practices 1

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": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1699949768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 CROWN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135442",
            "telephone_number": "718-363-0100",
            "fax_number": "718-363-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 CROWN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135442",
            "telephone_number": "718-363-0100",
            "fax_number": "718-363-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRY",
        "first_name": "BEVERLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R022767-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.