Individual provider Active NPI

Beverly Diane Sweeting, LPN, CLC, MSW

  • Clinical Social Worker
  • Port St Lucie, FL
National Provider Identifier
1902407299
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW9571 Issued in FL
Practice address
10961 SW Ivory Springs LN
Port St Lucie, FL 34987-7710
Phone
(786) 512-3680
NPI assigned
Nov 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN441421 FL
Clinical Social Worker 1041C0700X ISW9571 FL Primary

Addresses

Primary practice location

10961 SW Ivory Springs LN
Port St Lucie, FL 34987-7710

Mailing address

10961 SW Ivory Springs LN
Port St Lucie, FL 34987-7710
Phone (786) 512-3680

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
ISW9571FLMDClinical Social Worker
PN441421FLMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1902407299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10961 SW IVORY SPRINGS LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349877710",
            "telephone_number": "786-512-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10961 SW IVORY SPRINGS LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349877710",
            "telephone_number": "786-512-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEETING",
        "first_name": "BEVERLY",
        "middle_name": "DIANE",
        "credential": "LPN, CLC, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN441421",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW9571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.