Eleanor V Beard, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801019012 Issued in MI

Practice address

2329 W Grand Blvd
Detroit, MI 48208-1205

Phone

(313) 874-3129

Fax

(313) 875-5442

NPI assigned

Jun 2, 2008

Last updated

Oct 9, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Neighborhood Service Organization

  • Community/Behavioral Health Agency
  • Detroit, MI
  • NPI 1891825808
  NPD (past)
• Procare Rehabilitation Inc

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1164675658
  NPD (past)
• Q R & R LLC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1821256702
  NPD (past)

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1962661280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081205",
            "telephone_number": "313-874-3129",
            "fax_number": "313-875-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081205",
            "telephone_number": "313-874-3129",
            "fax_number": "313-875-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "ELEANOR",
        "middle_name": "V",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801019012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "6801019012",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yolanda Bean
• Jazzmyn Beanum
• Abigail Beard
• Christine Theresa Beard, COTA
• Curtis Beard I
• Felicia D Beard
• Monique Beard, RN, BSN
• Vincent Everett Beard, LLBSW
• Emily Beardsley, MD
• Brian Beasley

• Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.