Individual provider Active NPI

Rachel Beaver, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1891293064
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801106473 Issued in MI
Practice address
120 E Liberty St Ste 310
Ann Arbor, MI 48104-2181
Phone
(734) 531-8201
NPI assigned
Jan 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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 6801102169 MI
Clinical Social Worker 1041C0700X 6801106473 MI Primary

Addresses

Primary practice location

120 E Liberty St Ste 310
Ann Arbor, MI 48104-2181

Mailing address

5925 Villa France Ave
Ann Arbor, MI 48103-8815
Phone (734) 995-9361

Other practice location 1

202 E Washington St Ste 500
Ann Arbor, MI 48104-2017
Phone (734) 945-4644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801102169MIMDClinical Social Worker
6801106473MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rachel Beaver, LMSW, PLLC Clinical CurrentSince Mar 1, 2020 Accepting new patients

Locations

120 E Liberty St
Ste 310
Ann Arbor, MI 48104
Phone (734) 531-8201

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1891293064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 VILLA FRANCE AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038815",
            "telephone_number": "734-995-9361",
            "fax_number": "734-995-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E LIBERTY ST STE 310",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042181",
            "telephone_number": "734-531-8201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 E Washington St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481042017",
            "country_code": "US",
            "telephone_number": "734-945-4644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAVER",
        "first_name": "RACHEL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801102169",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.