Pascale Genevieve Beauboeuf-Roane, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

071062-1 Issued in NY

Practice address

115 W 31St St
5TH Floor
New York, NY 10001-3596

Phone

(212) 564-6006

Fax

(212) 564-3440

NPI assigned

Apr 16, 2008

Sex

Female

Sole proprietor

Yes

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": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1962676437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 STONEWALL CIR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071804",
            "telephone_number": "914-523-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 31ST ST",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013596",
            "telephone_number": "212-564-6006",
            "fax_number": "212-564-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUBOEUF-ROANE",
        "first_name": "PASCALE",
        "middle_name": "GENEVIEVE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071062-1",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Anne Beattie, OTR/L
• Alison Blair Beatty
• Karen Beatty, PH.D.
• Mari Janet Beatty, PA-C
• Nicholas Russell Beatty, DO
• Donnie Beaubrun, M.D
• Marline Emile Beaubrun
• Tessie Beaubrun, LMSW
• Philippe Beauchamp-Chalifour, MD, MSC, FRCSC
• Melissa Beauchamp

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

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