Theresa Beary-Taylor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4547 Issued in LA

Practice address

2238 1St St
Slidell, LA 70458-3606

Phone

(985) 690-6622

Fax

(985) 690-6662

NPI assigned

Nov 23, 2010

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)

Not 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 and National Provider Directory roles.

• Addiction Counseling and Educational Resources, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baton Rouge, LA
  • NPI 1821563552
  NPD (past)

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1992007041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 1ST ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583606",
            "telephone_number": "985-690-6622",
            "fax_number": "985-690-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 1ST ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583606",
            "telephone_number": "985-690-6622",
            "fax_number": "985-690-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARY-TAYLOR",
        "first_name": "THERESA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "202977783",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beacon Behavioral Hospital New Orleans LLC
• Beacon Behavioral Outpatient - Slidell LLC
• Brandon C Bean, D.D.S.
• Leslie Rae Bear
• Britney Jan Beard, D.D.S.
• Beaulieu Mobile Transports, LLC
• Jeannie Kaye Beaushaw, LPC, NCSC, NBCC
• Bech Family Dentistry LLC
• David Anthony Bech, DMD
• Gordon A Bech, DDS

• Clinical Social Worker in Slidell, LA
• Providers in Slidell, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.