Beverly Mirgeaux, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

003216 Issued in MO

Practice address

3065 William St
Suite 209
Cape Girardeau, MO 63703-6393

Phone

(573) 335-4100

Fax

(573) 339-7887

NPI assigned

Oct 10, 2006

Last updated

Sep 12, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Community Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cape Girardeau, MO
  • NPI 1235244757
  NPD (past)
• Community Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cape Girardeau, MO
  • NPI 1861154130
  NPD (past)
• Medstop One Inc

  • Clinic/Center
  • Cape Girardeau, MO
  • NPI 1417959149
  NPD (past)
• New Vision Youth and Family Services Inc

  • Professional Counselor
  • Cape Girardeau, MO
  • NPI 1396950614

  Clinical

  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1770671588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 WILLIAM ST",
            "address_2": "SUITE 209",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036393",
            "telephone_number": "573-335-4100",
            "fax_number": "573-339-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 WILLIAM ST",
            "address_2": "SUITE 209",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036393",
            "telephone_number": "573-335-4100",
            "fax_number": "573-339-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRGEAUX",
        "first_name": "BEVERLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "003216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417959149",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Christine Miller, DO
• Shannon K Miller, OTR-L, CHT
• Ashley Wiest Mills, DDS
• Charlene L Minton, DMD
• Sarah Jane Mirgaux, RPH
• Stephanie M Mirly, FNP, ENP
• Missouri CVS Pharmacy LLC (CVS Pharmacy# 10256)
• Missouri CVS Pharmacy LLC (CVS Pharmacy #16385)
• Missouri CVS Pharmacy, L.L.C. (CVS Pharmacy #18074)
• Missouri Emergency Providers PC

• Clinical Social Worker in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.