Beverly S Lesyea, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0974-2352C Issued in AL

Practice address

300 Twining Street
Maxwell Afb, AL 36112

Phone

(334) 953-5143

Fax

(334) 953-1900

NPI assigned

Sep 19, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1922093640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TWINING ST BLDG 760",
            "city": "MAXWELL AFB",
            "state": "AL",
            "postal_code": "361126027",
            "telephone_number": "334-953-5055",
            "fax_number": "334-953-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TWINING STREET",
            "city": "MAXWELL AFB",
            "state": "AL",
            "postal_code": "36112",
            "telephone_number": "334-953-5143",
            "fax_number": "334-953-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESYEA",
        "first_name": "BEVERLY",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001773",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "0974-2352C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Kochi, CRNP
• Eric Richard Korzen, PA-C
• Keith Raymond Kulow, M. D.
• Jenniffer Lynn Lapointe, M.D.
• Erin Hosty Lechner, FNP
• Jennifer Renee Lewis
• Elaine Marie Liberti, PA-C
• Haley Suzanne Lord, PA-C
• Letitia Renee Lyons Watson, M.D.
• Deirdra V Martin, CRNP

• Clinical Social Worker in Maxwell Afb, AL
• Providers in Maxwell Afb, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; 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.