Individual provider Active NPI

Michael Beacco, LCSW

  • Clinical Social Worker
  • St George, UT
National Provider Identifier
1740839406
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
292932-3502 Issued in UT
Practice address
377 E Riverside Dr Ste B
Saint George, UT 84790-4749
Phone
(435) 862-8273
NPI assigned
Sep 5, 2019
Last updated
Sep 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 292932-3502 UT Primary

Addresses

Primary practice location

377 E Riverside Dr Ste B
Saint George, UT 84790-4749

Mailing address

377 E Riverside Dr Ste B
Saint George, UT 84790-4749
Phone (435) 862-8273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20220823003510 UT Practitioner - Clinical Social Worker 1557744570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Associates PCGroup PAC ID 3173882065, 8 clinicians

Practice addresses (Care Compare)

377 E Riverside Dr
Suite B
St George, UT 84790-4749
Phone (435) 862-8273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
292932-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Associates, PC Clinical CurrentSince Jul 1, 2022 Accepting new patients

Locations

377 E Riverside Dr
Ste B
St George, UT 84790
Phone (435) 862-8273

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": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1740839406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 E RIVERSIDE DR STE B",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847904749",
            "telephone_number": "435-862-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 E RIVERSIDE DR STE B",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847904749",
            "telephone_number": "435-862-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACCO",
        "first_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-05",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "292932-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.