Individual provider Active NPI

Alan Beach, PH.D., LCSW, LMFT

  • Clinical Social Worker
  • Salem, VA
National Provider Identifier
1912925314
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904001814 Issued in VA
Practice address
811 S College Ave
Salem, VA 24153-5165
Phone
(540) 387-3977
Fax
(540) 387-3988
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904001814 VA Primary

Addresses

Primary practice location

811 S College Ave
Salem, VA 24153-5165

Mailing address

811 S College Ave
Salem, VA 24153-5165
Phone (540) 387-3977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20050414001333 VA Practitioner - Clinical Social Worker 7618914136 Practice locations: Salem, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

811 S College Ave
Salem, VA 24153-5165
Phone (540) 387-3977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0904001814VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca W Ewell LCSW PLLC Clinical PastSince Jul 1, 2022 Accepting new patients

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912925314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S COLLEGE AVE",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535165",
            "telephone_number": "540-387-3977",
            "fax_number": "540-387-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S COLLEGE AVE",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535165",
            "telephone_number": "540-387-3977",
            "fax_number": "540-387-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACH",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

Verify at the official NPI Registry.