Individual provider Active NPI

Paula Sue Beckley, MSW

  • Clinical Social Worker
  • Lawrence, KS
National Provider Identifier
1962514208
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1162 Issued in KS
Practice address
901 Kentucky St
Suite 301
Lawrence, KS 66044-2823
Phone
(785) 331-9824
NPI assigned
Aug 31, 2006
Last updated
May 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2017

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 1162 KS Primary

Addresses

Primary practice location

901 Kentucky St
Suite 301
Lawrence, KS 66044-2823

Mailing address

1517 Fountain Dr
Lawrence, KS 66047-9306
Phone (785) 331-9824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 10, 2017 through Apr 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1162KSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Renewal Center PA Clinical Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494892800000",
    "number": "1962514208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 FOUNTAIN DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660479306",
            "telephone_number": "785-331-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 KENTUCKY ST",
            "address_2": "SUITE 301",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442823",
            "telephone_number": "785-331-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKLEY",
        "first_name": "PAULA",
        "middle_name": "SUE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.