Aleta Diane Beaty, LCSW

Individual provider Active NPI Clinical Social Worker · Sullivan, MO

NPI 1780862201 · NPPES record last updated Jan 25, 2019

Key facts

NPI
1780862201
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
005262 (MO)
Practice address
101 Progress Pkwy
Sullivan, MO 63080
Phone
(888) 403-1071
NPI assigned
Feb 6, 2008
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc Clinical Current
since Jan 28, 2019
Accepting new patients
Compass Health, Inc Current
since Jan 28, 2019
Accepting new patients

Locations

1800 Community
#B
Clinton, MO 64735

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

101 Progress Pkwy
Sullivan, MO 63080
Phone (573) 468-3555

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 005262 MO Yes

Addresses

Primary practice location

101 Progress Pkwy
Sullivan, MO 63080

Mailing address

1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131

Other practice location 1

851 E 5th St
Suite 200
Washington, MO 63090-3135
Phone (636) 239-8638

Other providers in Sullivan, MO

All providers in Sullivan, MO · Clinical Social Worker in Missouri

Sources for this page

Verify at the official NPI Registry.