Lisa D Beveridge, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW018756 Issued in PA

Practice address

14351 Kutztown Rd
Fleetwood, PA 19522-9273

Phone

(610) 944-8800

Fax

(610) 944-8213

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lehigh Valley Physician Group

  • Developmental - Behavioral Pediatrics Physician
  • Allentown, PA
  • NPI 1780155689

  PA

  Medicare reassignment Care Compare group
• Concern-Professional Services for Children, Youth & Families

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Towanda, PA
  • NPI 1376845479

  PA

  Medicare reassignment NPD
• Lehigh Valley Physician Group

  • Podiatrist
  • Easton, PA
  • NPI 1013672666
  Care Compare group
• Lehigh Valley Physician Group

  • Diagnostic Radiology Physician
  • Allentown, PA
  • NPI 1033094289
  Care Compare group
• Lehigh Valley Physician Group

  • Durable Medical Equipment & Medical Supplies
  • Dickson City, PA
  • NPI 1174257513
  Care Compare group
• Concern Professional Services for Children, Youth & Families

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wyomissing, PA
  • NPI 1285887802
  NPD
• Concern-Professional Services for Children, Youth & Families

  • Adolescent and Children Mental Health Clinic/Center
  • Allentown, PA
  • NPI 1053178764
  NPD
• Lehigh Valley Physician Group

  • Family Medicine Physician
  • Macungie, PA
  • NPI 1124379953
  NPD
• Lehigh Valley Physician Group

  • Family Medicine Physician
  • East Stroudsburg, PA
  • NPI 1245093368
  NPD
• Lehigh Valley Physician Group

  • Transplant Surgery Physician
  • Allentown, PA
  • NPI 1457309650
  NPD

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1871653584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 N CEDAR CREST BLVD STE 411",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042323",
            "telephone_number": "610-969-1914",
            "fax_number": "610-969-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14351 KUTZTOWN RD",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195229273",
            "telephone_number": "610-944-8800",
            "fax_number": "610-944-8213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Normal Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Kutztown",
            "state": "PA",
            "postal_code": "195301640",
            "country_code": "US",
            "telephone_number": "610-683-8363",
            "fax_number": "610-683-3532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Golden Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Blandon",
            "state": "PA",
            "postal_code": "195109657",
            "country_code": "US",
            "telephone_number": "610-944-5555",
            "fax_number": "610-944-5551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Hawk Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "PA",
            "postal_code": "195269219",
            "country_code": "US",
            "telephone_number": "610-562-3066",
            "fax_number": "610-562-3125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEVERIDGE",
        "first_name": "LISA",
        "middle_name": "D",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW122833",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Marie Amadio, ATC, PTA
• Amy Antonioli, BCBA, LBS
• Assured Care Inc.
• Taylor Beeman, LMT
• Sarah Bentley, LPC
• Bio Aesthetics & Wellness LLC
• Cassandra Chance Davidson Blum, LCSW: CW025688
• Lisa Joan Bogacki, PT, MPH, ESMT, CCMT
• Chelsea Boyer, MSOTR/L
• Linda Breidigam, CRNP

• All providers in Fleetwood, PA
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.