DR. WILLIAM TEMPLE BEVERLY (NPI# 1184930117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184930117 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM TEMPLE BEVERLY |
| Credential | LCSW, PHD |
| Practice Address |
100 W 4th St Walsenburg CO 81089-1910 |
| Mailing Address |
Po Box 871 Walsenburg CO 81089-0871 |
| Practice Telephone | 7196717793 |
| Practice Fax Number | 8773591299 |
| Mailing Telephone | 7196717793 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2013-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW-1510 | CO | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
0473664 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | VALUE OPTIONS, MEDICAID | 701760 | 01 |
| CO | 49330888 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| 1306949425 | William James Beverly | Counselor | 10633 Grissom Ave, Mather, CA 95655-4123 | 2006-09-06 |
| Street Address |
100 W 4TH ST |
| City | WALSENBURG |
| State | CO |
| Zip Code | 81089-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740707090 | Sarah E. Hein | Physician Assistant | 100 W 4th St, Walsenburg, CO 81089-1910 | 2017-08-28 |
| 1578720819 | Jerriann Vigil | Physician Assistant | 100 W 4th St, Walsenburg, CO 81089-1910 | 2008-05-22 |
| 1760675698 | Family Medicine Clinic | General Practice | 100 W 4th St, Walsenburg, CO 81089-1910 | 2007-08-23 |
| 1457479370 | Kathleen Ann Moulds | Nurse Practitioner | 100 W 4th St, Walsenburg, CO 81089-1910 | 2007-03-27 |
| 1659433613 | Rocky Mountain Eye Center, Inc. | Eyewear Supplier (Equipment, not the service) | 100 W 4th St, Walsenburg, CO 81089-1910 | 2006-12-15 |
| 1255364485 | C David Neece | General Practice | 100 W 4th St, Walsenburg, CO 81089-1910 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336684471 | John Edward Hill | Counselor | 615 Russell St., Walsenburg, CO 81089 | 2016-12-28 |
| 1891997672 | Sandra Dee Majors | Counselor | 926 Russell Street, Walsenburg, CO 81089 | 2007-06-04 |
| 1306006143 | Olixn Lee Adams | Family Medicine | 23400 Us Highway 160, Walsenburg, CO 81089 | 2008-06-16 |
| 1265611354 | Diane M Ernewein | Physical Therapist | 125 E 5th St, Walsenburg, CO 81089 | 2007-10-25 |
| 1306905203 | Deej Health Corp | Pharmacy | 520 Main St, Walsenburg, CO 81089 | 2006-12-06 |
| 1710905997 | Ginger E. Dunnam-smith | Emergency Medicine | 23500 Us Highway 160, Walsenburg, CO 81089 | 2006-07-17 |
| 1053859611 | Southern Colorado Developmental Disabilities Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 309 E Elder St, Walsenburg, CO 81089-1601 | 2017-02-03 |
| 1407862386 | Kathy Ann Loeffler | Nurse Practitioner | 129 Kansas Ave, Walsenburg, CO 81089-1818 | 2006-07-31 |
| 1528665593 | Achieve Whole Recovery, PC | Specialist | 129 Kansas Ave, Walsenburg, CO 81089-1818 | 2020-10-02 |
| 1710274394 | Regina Jo Griego | Nurse Practitioner | 129 Kansas Ave, Walsenburg, CO 81089-1818 | 2011-07-05 |
| Find all providers in zip 81089 | ||||
| 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 |
|---|---|---|---|---|
| 1649330168 | Joanna Dewey | Social Worker | 926 Russell Ave, Walsenburg, CO 81089-2134 | 2006-12-12 |
| 1205211042 | Ann Kleeger | Social Worker | 926 Russell Ave, Walsenburg, CO 81089-2134 | 2015-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336097 | Michelle Cook | Social Worker | 615 Joseph Cir, Golden, CO 80403-2349 | 2020-11-06 |
| 1982205704 | Renaissance Therapy Denver | Social Worker | 4495 Hale Pkwy Ste 114, Denver, CO 80220-6203 | 2020-11-06 |
| 1891396693 | Tides Changing Therapy | Social Worker | 2949 Federal Blvd # 205, Denver, CO 80211-3741 | 2020-11-06 |
| 1750982815 | Caitlin Opland | Social Worker | 6416 S Robb Way, Littleton, CO 80127-5853 | 2020-11-05 |
| 1144821364 | Faith Nielsen | Social Worker | 812 Mcgraw Dr, Fort Collins, CO 80526-3977 | 2020-11-04 |
| 1992305791 | Heather's Healing Therapy | Social Worker | 3550 S Harlan St Unit 267, Denver, CO 80235-2712 | 2020-10-30 |
| 1093315152 | Ruth Lucia Settak | Social Worker | 17301 W. Colfax Ave., Ste 200, Golden, CO 80401 | 2020-10-28 |
| 1972102432 | Melinda Stern Meiering | Social Worker | 1775 W 2nd Ave, Durango, CO 81301-5003 | 2020-10-25 |
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1073112223 | Sarah Laub | Social Worker | 2620 Red Fox Ct, Fort Collins, CO 80526-5285 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | WALSENBURG |
| Zip Code | 81089 |
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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.