TINA K BEVERLY (NPI# 1659726172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659726172 |
| Entity Type | Individual |
| Full Name | TINA K BEVERLY |
| Credential | LMSW-CC |
| Practice Address |
442 Moosehead Trl Newport ME 04953-4004 |
| Mailing Address |
29 Franklin St Bangor ME 04401-4909 |
| Practice Telephone | 2079077205 |
| Practice Fax Number | 2075614725 |
| Mailing Telephone | 2079077205 |
| Mailing Fax Number | 2075614725 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | MC15885 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | IN PROCESS | 05 |
| Street Address |
442 MOOSEHEAD TRL |
| City | NEWPORT |
| State | ME |
| Zip Code | 04953-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730133430 | Linda R Bright | Social Worker | 442 Moosehead Trl, Newport, ME 04953-4004 | 2006-05-19 |
| 1275968877 | Sara Lopez | Counselor | 442 Moosehead Trl, Newport, ME 04953-4004 | 2013-09-13 |
| 1851693717 | Lisa Lynch | Counselor | 442 Moosehead Trl, Newport, ME 04953-4004 | 2010-11-29 |
| 1760500383 | Cynthia E Breare | Counselor | 442 Moosehead Trl, Newport, ME 04953-4004 | 2007-03-26 |
| 1407924004 | Teresa A Souders | Social Worker | 442 Moosehead Trl, Newport, ME 04953-4004 | 2006-12-01 |
| 1003857780 | Sheri L Wheelock | Psychologist | 442 Moosehead Trl, Newport, ME 04953-4004 | 2006-06-10 |
| 1720029945 | Laura G Stevens | Social Worker | 442 Moosehead Trl, Newport, ME 04953-4004 | 2006-06-09 |
| 1255372793 | Barbara A Day | Registered Nurse | 442 Moosehead Trl, Newport, ME 04953-4004 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023621273 | Sebasticook Family Doctors | Clinic/Center | 291 Williams Road, Newport, ME 04953 | 2020-08-27 |
| 1225432123 | Katherine Trembley | Dental Hygienist | 3 Joslyn Street, Newport, ME 04953 | 2014-10-21 |
| 1912170481 | Dianna Lynn Fleischer | Massage Therapist | 134c Main Street, Newport, ME 04953 | 2008-04-07 |
| 1326260662 | Maine School Administrative District #48 | Local Education Agency (LEA) | 182 Moosehead Trail, Newport, ME 04953 | 2007-05-03 |
| 1831229962 | Robert J Kreider | Specialist/Technologist | 266 Williams Rd., Newport, ME 04953 | 2007-03-07 |
| 1508881582 | Bay View Physical Therapy Limited Partnership | Physical Therapist | Route 7, Moosehead Trail Professional Building, Newport, ME 04953 | 2006-07-12 |
| 1356300610 | Jennifer Stihilaire | Physical Therapy Assistant | Rt 7 Moosehead Trail, Professional Bldg, Newport, ME 04953 | 2006-03-23 |
| 1760450910 | Newport Family Practice Pa | Family Medicine | 26 Main Street, Suite 2, Newport, ME 04953 | 2006-03-14 |
| 1154398089 | Ben Thomas Hieronymus Jr. | Nurse Practitioner | 26 Main St, Ste 2, Newport, ME 04953 | 2006-02-28 |
| 1730310863 | Kristina S Meadow | Social Worker | 20 High St, Newport, ME 04953 | 2009-08-06 |
| Find all providers in zip 04953 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659730885 | Debra Brown | Social Worker | 407 N Coast Hwy Ste 300, Newport, OR 97365-3117 | 2016-02-16 |
| 1609232586 | Samuel Franklin Lowe | Social Worker | 28 W Shortcut Rd, Newport, PA 17074-8721 | 2016-01-08 |
| 1477995058 | Lori R Amey | Social Worker | 28 West Shortcut, Newport, PA 17074-1501 | 2013-07-23 |
| 1073856480 | Tracy Lyn Feldscher | Social Worker | 567 Ne 20th Pl, Newport, OR 97365-1835 | 2013-04-03 |
| 1467790782 | James Raymond Warren | Social Worker | 323 Nw Lee St, Newport, OR 97365-3616 | 2013-01-21 |
| 1629351242 | August Miriah Bruce | Social Worker | 2135 Malcolm Ave, Newport, AR 72112-3631 | 2011-09-20 |
| 1578867255 | Nora K Griscom | Social Worker | 130 Bellevue Ave Ste 214, Newport, RI 02840 | 2011-01-10 |
| 1801083654 | Deborah A Collins | Social Worker | 38 N 2nd St, Newport, PA 17074-1501 | 2007-09-26 |
| 1730133430 | Linda R Bright | Social Worker | 442 Moosehead Trl, Newport, ME 04953-4004 | 2006-05-19 |
| 1154944098 | Bailey A Fassler | Social Worker | 990 W Highway 25 70, Newport, TN 37821-9006 | 2020-05-27 |
| Find all providers in NEWPORT | ||||
Please comment or provide details below to improve the information on TINA K BEVERLY.
| 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.