Active NPI
Beverly M. Metcalfe, LCSW
- Social Worker
- Ft Wainwright, AK
National Provider Identifier
1962591909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 492
- Practice address
- 1060 Gaffney Rd # 7440
Commander, USA-Meddac-Ak, Attn:McUc-MMD-QM
Ft Wainwright, AK 99703-5001 - Phone
- (907) 353-5418
- Fax
- (907) 353-4847
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 492 | AK | Primary |
| Social Worker | 104100000X | 22192 | CA |
Addresses
Primary practice location
1060 Gaffney Rd # 7440
Commander, USA-Meddac-Ak, Attn:McUc-MMD-QM
Ft Wainwright, AK 99703-5001
Mailing address
5955 Zeamer Ave
Anchorage, AK 99506-3702
Phone (907) 580-5858
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22192 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407196800000",
"number": "1962591909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5955 ZEAMER AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995063702",
"telephone_number": "907-580-5858",
"fax_number": "907-580-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 GAFFNEY RD # 7440",
"address_2": "COMMANDER, USA-MEDDAC-AK, ATTN:MCUC-MMD-QM",
"city": "FT WAINWRIGHT",
"state": "AK",
"postal_code": "997035001",
"telephone_number": "907-353-5418",
"fax_number": "907-353-4847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METCALFE",
"first_name": "BEVERLY",
"middle_name": "M.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2014-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AK",
"license": "492",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "22192",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Wainwright, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.