Beatty, Daniel Richard

Beatty, Daniel Richard is an individual health care provider with primary practice located at 219A Avery Ave , Morganton NC 28655-3102. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Beatty, Daniel Richard can be contacted via phone (828) 430-8344.

Contact Information

Primary practice address
219A Avery Ave Morganton NC 28655-3102
Fax: (828) 430-4384
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X C004809 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C004809 North Carolina

Profile Details

NPI number 1710057476
LBN Legal business name Beatty, Daniel Richard
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Aug 29th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710057476 NPPES
North Carolina MEDICAID 6003109

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