Bethany Beauregard, LCSW
Individual provider Active NPI Clinical Social Worker · Wakefield, RI
NPI 1982552733 · NPPES record last updated Apr 7, 2026
Key facts
- NPI
- 1982552733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW04443 (RI)
- Practice address
- 100 Kenyon Ave
Wakefield, RI 02879-4216 - Phone
- (401) 788-2122
- NPI assigned
- Mar 18, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
100 Kenyon Ave
Wakefield, RI 02879-4299
PO Box
Suite 229
Wakefield, RI 02880
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260415000498 | RI | Practitioner - Clinical Social Worker | 8527534817 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW04443 | RI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW04443 | RI | Yes |
Addresses
Primary practice location
100 Kenyon Ave
Wakefield, RI 02879-4216
Mailing address
PO Box 229
Wakefield, RI 02880-0229
Phone (401) 788-3929
Other providers in Wakefield, RI
- Maureen M. Baur
- Baxter Palliative Consulting LLC
- Kelly Baxter
- Larry Thomas Baxter
- Beatriz M. Demoranville, MD and Associates, Inc.
- Tia Beckman
- Nima Behazin
- Belanger Chiropractic LLC
- Peter Joseph Bellafiore
- Robert David Benavides
All providers in Wakefield, RI · Clinical Social Worker in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.