Active NPI
Robert Malvin Beadle, LSW
- Social Worker
- Lisbon, OH
National Provider Identifier
1982265724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.0700299
- Practice address
- 966 N Market St
Lisbon, OH 44432-9363 - Phone
- (330) 424-1468
- NPI assigned
- Jun 24, 2019
- Last updated
- Mar 7, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.0700299 | OH | Primary |
Addresses
Primary practice location
966 N Market St
Lisbon, OH 44432-9363
Mailing address
464 Greenmont Dr
Canfield, OH 44406-9658
Phone (330) 559-3866
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.0700299 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Youth Advocate Program, Inc | Past | Accepting new patients | |
| Family Recovery Center | Past | Accepting new patients | |
| Family Recovery Center | Past | Accepting new patients | |
| National Youth Advocate Program, Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Lisbon, OH
- NPI 1740548155
-
- Community/Behavioral Health Agency
- Lisbon, OH
- NPI 1821053042
-
- Community/Behavioral Health Agency
- Canton, OH
- NPI 1679721906
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1841943495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1982265724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 GREENMONT DR",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444069658",
"telephone_number": "330-559-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "966 N MARKET ST",
"city": "LISBON",
"state": "OH",
"postal_code": "444329363",
"telephone_number": "330-424-1468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEADLE",
"first_name": "ROBERT",
"middle_name": "MALVIN",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-24",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0700299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lisbon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.