KELLY JO BEADLE (NPI# 1215442165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215442165 |
| Entity Type | Individual |
| Full Name | KELLY JO BEADLE |
| Credential | LCSW |
| Practice Address |
8002 King Helie Blvd New Port Richey FL 34653-1435 |
| Practice Telephone | 7276451201 |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
14979 | FL | Behavioral Health & Social Service Providers |
| Street Address |
8002 KING HELIE BLVD |
| City | NEW PORT RICHEY |
| State | FL |
| Zip Code | 34653-1435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386653129 | Don Alan Davis | Registered Nurse | 8002 King Helie Blvd, New Port Richey, FL 34653-1435 | 2006-08-07 |
| 1376152702 | Sara Marie Deese | Counselor | 8002 King Helie Blvd, New Port Richey, FL 34653-1435 | 2020-07-31 |
| 1245864834 | Monia Bannouri | Counselor | 8002 King Helie Blvd, New Port Richey, FL 34653-1435 | 2020-02-24 |
| 1043841380 | Matthew David Paulus | Counselor | 8002 King Helie Blvd, New Port Richey, FL 34653-1435 | 2020-01-27 |
| 1801436639 | Robyn Leslie Watson | Counselor | 8002 King Helie Blvd, New Port Richey, FL 34653-1435 | 2020-01-09 |
| 1962056184 | Jamie Simpkins | Social Worker | 8002 King Helie Blvd, New Port Richey, FL 34653-1435 | 2019-07-25 |
| 1801455407 | Mario Morano | Counselor | 8002 King Helie Blvd, New Port Richey, FL 34653-1435 | 2019-06-07 |
| 1477118396 | Kiara N Pittman | Counselor | 8002 King Helie Blvd, New Port Richey, FL 34653 | 2019-05-06 |
| 1275013070 | Stacey Pietrasiuk | Counselor | 8002 King Helie Blvd, New Port Richey, FL 34653-1435 | 2018-08-21 |
| 1417317629 | Crystal Willson | Counselor | 8002 King Helie Blvd, New Port Richey, FL 34653-1435 | 2016-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669956033 | All Best Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 7114 Congress Street, New Port Richey, FL 34653 | 2018-09-20 |
| 1851880132 | Select Medical Solutions LLC | Durable Medical Equipment & Medical Supplies | 4575 Whitton Way, Unit# 1119, New Port Richey, FL 34653 | 2018-05-02 |
| 1477050151 | A & B of Pasco, Inc | Non-emergency Medical Transport (VAN) | 6449 Sutters Mill Rd, New Port Richey, FL 34653 | 2018-04-10 |
| 1841704988 | Kelly R Stryjewski | Nurse Practitioner | 6331 State Rd 54, New Port Richey, FL 34653 | 2017-11-28 |
| 1568974921 | Life Back, LLC. | Durable Medical Equipment & Medical Supplies | 8018 Old County Road 54, New Port Richey, FL 34653 | 2017-10-25 |
| 1477002558 | Amy Rebecca Patten | Nurse Practitioner | Gulfside Hospice, 6117 Trouble Creek Road, New Port Richey, FL 34653 | 2016-09-29 |
| 1972976900 | Steven Cheung | Physical Therapist | 5138 Deer Park Drive, New Port Richey, FL 34653 | 2015-11-13 |
| 1164804852 | Drew Finnegan | Chiropractor | 7653 Cypress Trace Ct, New Port Richey, FL 34653 | 2015-06-18 |
| 1699155184 | Chad Exceen | Counselor | 8002 King Helie Blvd., Baycare Behavioral Health, New Port Richey, FL 34653 | 2015-06-01 |
| 1881025005 | Elm Tree Lodge | Preferred Provider Organization | 6205 Viola Lane, New Port Richey, FL 34653 | 2013-12-13 |
| Find all providers in zip 34653 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845221 | Kathryn E Wright | Social Worker | 8225 Florida State Road 54, New Port Richey, FL 34655 | 2020-09-15 |
| 1437626330 | Assessment and Counseling, LLC | Social Worker | 7552 Congress St Ste 4, New Port Richey, FL 34653-1106 | 2018-10-29 |
| 1861987380 | Dennis Brown | Social Worker | 5745 Main St Ste 202, New Port Richey, FL 34652-2700 | 2018-06-27 |
| 1457868549 | Bruce Justin Develle | Social Worker | 1122 Mazarion Pl, New Port Richey, FL 34655-4273 | 2018-01-10 |
| 1043727803 | Karyn Bramanti-mcguire | Social Worker | 5440 James St, New Port Richey, FL 34652-3928 | 2018-01-02 |
| 1780124495 | Sherri Mccann | Social Worker | 6110 6th Ave, New Port Richey, FL 34653-5126 | 2017-02-28 |
| 1932658705 | Lisa Kostopoulos | Social Worker | 4723 Rowe Dr, New Port Richey, FL 34653-6321 | 2016-09-22 |
| 1235505199 | Brian Scott | Social Worker | 5139 Deer Park Dr, New Port Richey, FL 34653-7013 | 2015-08-14 |
| 1952726465 | Angela Damianakis | Social Worker | 3030 Starkey Blvd, Suite 178, New Port Richey, FL 34655-2175 | 2014-02-20 |
| 1831420223 | Judy Skrmetta Brooks | Social Worker | 5509 Grand Blvd Ste 304, New Port Richey, FL 34652-3836 | 2010-01-25 |
| Find all providers in NEW PORT RICHEY | ||||
| City | NEW PORT RICHEY |
| Zip Code | 34653 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.