Active NPI
Bethany L Beal, LMSW
- Social Worker
- Wichita, KS
National Provider Identifier
1730528605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8863
- Practice address
- 982 N Tyler Rd
Ste B
Wichita, KS 67212-3271 - Phone
- (316) 721-8118
- Fax
- (316) 721-8139
- NPI assigned
- Jun 24, 2013
- Last updated
- Jun 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8863 | KS | Primary |
Addresses
Primary practice location
982 N Tyler Rd
Ste B
Wichita, KS 67212-3271
Mailing address
982 N Tyler Rd
Ste B
Wichita, KS 67212-3271
Phone (316) 721-8118
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8863 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372032000000",
"number": "1730528605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "982 N TYLER RD",
"address_2": "STE B",
"city": "WICHITA",
"state": "KS",
"postal_code": "672123271",
"telephone_number": "316-721-8118",
"fax_number": "316-721-8139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "982 N TYLER RD",
"address_2": "STE B",
"city": "WICHITA",
"state": "KS",
"postal_code": "672123271",
"telephone_number": "316-721-8118",
"fax_number": "316-721-8139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAL",
"first_name": "BETHANY",
"middle_name": "L",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-24",
"last_updated": "2013-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "8863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.