Individual provider Active NPI

Yazmin Beeks, LGSW

  • Clinical Social Worker
  • Clinton, MD
National Provider Identifier
1780146217
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24066 Issued in MD
Practice address
9015 Woodyard Rd Ste 109
Clinton, MD 20735-4226
Phone
(301) 541-0963
NPI assigned
Apr 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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 24066 MD Primary

Addresses

Primary practice location

9015 Woodyard Rd Ste 109
Clinton, MD 20735-4226

Mailing address

3360 Huntley Square Dr Apt A1
Temple Hills, MD 20748-6223
Phone (908) 414-5610

Other practice location 1

4810 Saint Barnabas Rd Ste 203
Temple Hills, MD 20748-4604
Phone (301) 541-0963

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

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Lives Adult & Youth Services Past Accepting new patients
Changing Lives Adult & Youth Services PastSince Sep 15, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: arkofrehabilitation.yazminbeeks@159992.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1780146217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 HUNTLEY SQUARE DR APT A1",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207486223",
            "telephone_number": "908-414-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 WOODYARD RD STE 109",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354226",
            "telephone_number": "301-541-0963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4810 Saint Barnabas Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Temple Hills",
            "state": "MD",
            "postal_code": "207484604",
            "country_code": "US",
            "telephone_number": "301-541-0963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEEKS",
        "first_name": "YAZMIN",
        "credential": "LGSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.