Organization Active NPI

Julaine Beatty LCSW PLLC

  • Clinical Social Worker
  • Danbury, CT
National Provider Identifier
1962171546
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JULAINE BEATTY LCSW PLLC
Practice address
2 Mountainview Ter Unit 6203
Danbury, CT 06810-4173
Phone
(203) 794-2834
Fax
(475) 204-3581
NPI assigned
Sep 8, 2021
Last updated
Sep 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Authorized official

Name
Julaine Beatty, LCSWNPI 1700116258
Title
Owner
Phone
(203) 794-2834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2 Mountainview Ter Unit 6203
Danbury, CT 06810-4173

Mailing address

2 Mountainview Ter Unit 6203
Danbury, CT 06810-4173
Phone (203) 794-2834

Other identifiers 1

IdentifierTypeStateIssuer
7197918MedicaidMT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1962171546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MOUNTAINVIEW TER UNIT 6203",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104173",
            "telephone_number": "203-794-2834",
            "fax_number": "475-204-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MOUNTAINVIEW TER UNIT 6203",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104173",
            "telephone_number": "203-794-2834",
            "fax_number": "475-204-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULAINE BEATTY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "BEATTY",
        "authorized_official_first_name": "JULAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-794-2834",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7197918",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.