Bevan Lee Leach, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801016568 Issued in MI

Practice address

1150 E Sherman Blvd Ste 1125
Muskegon, MI 49444-1894

Phone

(231) 672-3723

Fax

(231) 672-6787

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891842936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SANDY POINT DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242523",
            "telephone_number": "616-796-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E SHERMAN BLVD STE 1125",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441894",
            "telephone_number": "231-672-3723",
            "fax_number": "231-672-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "BEVAN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801016568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene Lathrop
• Liah Marie Lavassuer
• Kristen S Lawrence, MD
• Maria Anthonita Lawson, PTA
• Julie Le, LPN
• Steven Edward Leafers, RPH
• Teresa Leak
• Laura Lisa Leary
• Grace K Leblanc, PA-C
• Julie Ann Lee, R.N.

• Clinical Social Worker in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.