Laurel Ann Beason, LICENSED CLINICAL SO
Individual provider Active NPI Clinical Social Worker · Paso Robles, CA
NPI 1861767352 · NPPES record last updated Feb 25, 2016
Key facts
- NPI
- 1861767352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCS28257 (CA)
- Practice address
- 1140 Railroad Street
Paso Robles, CA 93446-2727 - Phone
- (805) 237-0992
- Fax
- (805) 237-0993
- NPI assigned
- Mar 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1140 Railroad St
Paso Robles, CA 93446-2532
Phone (805) 610-4159
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120522001286 | CA | Practitioner - Clinical Social Worker | 1355504747 |
Reassigns benefits to 1 organization Practice locations: Paso Robles, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS28257 | CA | MD | Clinical Social Worker |
| 28257 | CA | MD | Rehabilitation Chiropractor |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Luis Obispo | Current | Accepting new patients | |
| County of San Luis Obispo | Current |
Accepting new patients |
Locations
2178 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 781-4711
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 28257 | CA | |
| Clinical Social Worker | 1041C0700X | LCS28257 | CA | Yes |
Addresses
Primary practice location
1140 Railroad Street
Paso Robles, CA 93446-2727
Mailing address
1140 Railroad Street
Paso Robles, CA 93446-2727
Phone (805) 237-0992
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4468140 | Medicaid | CA |
Other providers in Paso Robles, CA
- Jessica Eryn Balegal
- Alyssa Nicole Rogers Barkley
- Bruce Philip Barnett
- Ricki Rebecca Barnett
- Abduselam Hussein Barre
- Jennifer Beck
- Beller Company LLC
- Joseph D Bettencourt
- David Bircher
- BLS Non-Emergent Medical Transport
All providers in Paso Robles, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.