Individual provider Active NPI

Alicia Vanbeverhoudt, LCSW

  • Clinical Social Worker
  • Savannah, GA
National Provider Identifier
1851849483
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005855 Issued in GA
Practice address
835 E 65TH St
Suite 104
Savannah, GA 31405-4421
Phone
(912) 355-1440
Fax
(912) 352-0802
NPI assigned
Sep 12, 2016
Last updated
Sep 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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 CSW005855 GA Primary

Addresses

Primary practice location

835 E 65TH St
Suite 104
Savannah, GA 31405-4421

Mailing address

835 E 65TH St
Suite 104
Savannah, GA 31405-4421
Phone (912) 355-1440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20260204004444 GA Practitioner - Clinical Social Worker 0345729836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher Dennis MD PLLCGroup PAC ID 7416254990, 72 clinicians

Practice addresses (Care Compare)

11340 Lakefield Dr
Suite 200
Johns Creek, GA 30097-2456
Phone (888) 515-3834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW005855GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Dennis MD PLLC Clinical CurrentSince Jan 5, 2026 Accepting new patients

Locations

1420 Milstead Rd NE
Conyers, GA 30012
Phone (770) 483-3902

11340 Lakefield Dr
Ste 200
Johns Creek, GA 30097
Phone (678) 407-2159

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": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1851849483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 E 65TH ST",
            "address_2": "SUITE 104",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054421",
            "telephone_number": "912-355-1440",
            "fax_number": "912-352-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 E 65TH ST",
            "address_2": "SUITE 104",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054421",
            "telephone_number": "912-355-1440",
            "fax_number": "912-352-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBEVERHOUDT",
        "first_name": "ALICIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.