MS. JACQUELINE MARIA BEAVERS LMSW
NPI 1558718502
Social Worker - Clinical in Detroit, MI

Q: What is Jacqueline Beavers's NPI number?

The NPI number for Jacqueline Beavers is 1558718502. It was assigned to this individual provider in the NPPES registry on May 19, 2016.

Q: What is Jacqueline Beavers's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since May 19, 2016

89 E EDSEL FORD FWY STE 200, DETROIT, MI 48202(586) 339-2660(734) 207-5326 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2021, Oct 7, 2021, Sep 15, 2021 and 2 more (5 updates tracked since 2016).

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About Ms. Jacqueline Maria Beavers Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JACQUELINE MARIA BEAVERS LMSW (NPI 1558718502) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6801109721) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1558718502

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. JACQUELINE MARIA BEAVERSCredential: LMSW

Location Address89 E EDSEL FORD FWY STE 200Detroit, MI 48202-3742

Mailing Address19300 Appoline StDetroit, MI 48235-1215 · (586) 339-2660 · Fax (734) 207-5326

Phone(586) 339-2660

Fax(734) 207-5326

Sole ProprietorYes

Enumeration DateMay 19, 2016

Last NPPES UpdateNovember 8, 20215 updates tracked since enumeration

NPPES CertifiedNovember 8, 2021

✔ NPI 1558718502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6801109721

Definition

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.

89 E EDSEL FORD FWY STE 200, Detroit, MI 48202

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Other Identifiers 1

Other68011109721MI · Lmsw License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIDDLE WAY PSYCHOLOGY

Clinic/Center (Mental Health (Including Community Mental Health Center))