Michelle Beebee, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

042934 Issued in NY

Practice address

14 Wild Cherry LN
Sag Harbor, NY 11963-1323

Phone

(631) 258-4120

Fax

(631) 725-4044

NPI assigned

Jan 6, 2012

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

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1972873990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1681",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "119630062",
            "telephone_number": "631-725-3740",
            "fax_number": "631-725-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WILD CHERRY LN",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "119631323",
            "telephone_number": "631-258-4120",
            "fax_number": "631-725-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEBEE",
        "first_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "042934",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "042934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidney Macdonald Baker, MD
• Beth Rosenthal Barth, MSW R LCSW
• Isabella Bartoloni, LMT, CMLDT
• Bay Area Radiology, PC
• BBMJ Inc (Sag Harbor Pharmacy)
• Teresa Helen Boeklen, LMSW
• Christine Carol Borelli, PHD
• Carl Brandl, LMHC
• Emma Marietta Brown, OTR/L
• Carl F Brandl LMHC

• Clinical Social Worker in Sag Harbor, NY
• Providers in Sag Harbor, 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 Dec 5, 2023; 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.