Individual provider Active NPI

Elisabeth Anne Beardsley, MSW, LICSW

  • Clinical Social Worker
  • Poca, WV
National Provider Identifier
1851688170
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00942941 Issued in WV
Practice address
55 Cody Drive
Poca, WV 25159-9035
Phone
(304) 881-1678
Fax
(800) 796-4730
NPI assigned
Jul 7, 2011
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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 DP00942941 WV Primary

Addresses

Primary practice location

55 Cody Drive
Poca, WV 25159-9035

Mailing address

55 Cody Drive
Poca, WV 25159-9035
Phone (304) 881-1678

Other identifiers 1

IdentifierTypeStateIssuer
DP00942941OtherWVINDEPENDENT CLINICAL SOCIAL WORK LICENSE

Other names 1

  • Mrs. Elisabeth Anne Beardsley Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP00942941WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Good Heart Therapy Services, PLLC Clinical Past Accepting new patients

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": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1851688170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CODY DRIVE",
            "city": "POCA",
            "state": "WV",
            "postal_code": "251599035",
            "telephone_number": "304-881-1678",
            "fax_number": "800-796-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CODY DRIVE",
            "city": "POCA",
            "state": "WV",
            "postal_code": "251599035",
            "telephone_number": "304-881-1678",
            "fax_number": "800-796-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARDSLEY",
        "first_name": "ELISABETH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00942941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT CLINICAL SOCIAL WORK LICENSE",
            "identifier": "DP00942941",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "BEARDSLEY",
            "middle_name": "ANNE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Poca, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.