Individual provider Active NPI

Shelley Eileen Beckley, LCSW

  • Social Worker
  • Macon, MO
National Provider Identifier
1871048876
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2019003938 Issued in MO
Practice address
309 N Missouri St
Macon, MO 63552-2143
Phone
(660) 395-9114
NPI assigned
Aug 19, 2016
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWI.LW.70160171 WA
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 2019003938 MO Primary

Addresses

Primary practice location

309 N Missouri St
Macon, MO 63552-2143

Mailing address

1847 Highway K
Clarence, MO 63437-3015
Phone (660) 651-4120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240416001005 MO Practitioner - Clinical Social Worker 9739528332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

154 Forrest Dr
Hannibal, MO 63401-5511
Phone (573) 221-2120

309 N Missouri St
Macon, MO 63552-2143
Phone (660) 395-9114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Twain Association for Mental Health, Inc CurrentSince Apr 24, 2024 Accepting new patients
Talkspace Provider Network PA Multi-Specialty CurrentSince Mar 12, 2024 Accepting new patients
Mark Twain Association for Mental Health, Inc. Multi-Specialty CurrentSince Apr 24, 2024 Accepting new patients

Locations

154 Forrest Dr
Hannibal, MO 63401
Phone (573) 221-2120

309 N Missouri St
Macon, MO 63552
Phone (660) 395-9114

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

Organizations & group practices 3

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": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1871048876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1847 HIGHWAY K",
            "city": "CLARENCE",
            "state": "MO",
            "postal_code": "634373015",
            "telephone_number": "660-651-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N MISSOURI ST",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522143",
            "telephone_number": "660-395-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKLEY",
        "first_name": "SHELLEY",
        "middle_name": "EILEEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWI.LW.70160171",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2019003938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, MO

Sources for this page

Verify at the official NPI Registry.