Alisha P Beverly, LCSW, BC-TMH

Primary specialty

Social WorkerTaxonomy code 104100000X

License

089197 Issued in NY

Practice address

235 West 115TH Street Apt 1a
New York, NY 10026-2480

Phone

(917) 837-4785

NPI assigned

Jul 25, 2018

Last updated

Apr 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1871070573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W 115TH ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262480",
            "telephone_number": "917-837-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WEST 115TH STREET APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262480",
            "telephone_number": "917-837-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVERLY",
        "first_name": "ALISHA P",
        "credential": "LCSW, BC-TMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "089197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Anthony Bevelaqua, M.D.
• Christine Beverin
• Beverley D. Zabriskie
• Cordia L Beverley, M.D.
• Beverly W. Hurd MD PC
• Lucia Maria Bevia
• Babette Bevilacqua, P.A.
• Julia Bevilacqua, NP
• Laura Bevilacqua, M.D., PHD.
• Lauren Rachel Bey, ACNP-BC

• Social Worker in New York, NY
• Providers in New York, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.