MR. TERRY PAT BEAVERSON LCSW
NPI 1902937261
Social Worker - Clinical in Russellville, AR

Active since March 08, 2007
110 SKYLINE DR, RUSSELLVILLE, AR 72801(479) 967-5570(479) 890-5364 Get Directions Write a Review

NPPES record last updated: November 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Terry Pat Beaverson Lcsw NPPES

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

MR. TERRY PAT BEAVERSON LCSW (NPI 1902937261) is an individual clinical provider in Russellville, Arkansas, licensed in Arkansas (1886-C) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1902937261
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. TERRY PAT BEAVERSONCredential: LCSW
Location Address110 SKYLINE DRRussellville, AR 72801-3362
Mailing Address110 Skyline DrRussellville, AR 72801-3362 · (479) 968-1298 · Fax (479) 968-6053
Fax(479) 890-5364
Sole ProprietorNo
Enumeration DateMarch 8, 2007
Last NPPES UpdateNovember 3, 2011
NPI 1902937261 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 AR · 1886-C
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.
110 SKYLINE DR, Russellville, AR 72801

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
110 SKYLINE DR
RUSSELLVILLE, AR 72801
Case Manager/Care Coordinator
110 SKYLINE DR
RUSSELLVILLE, AR 72801
Case Manager/Care Coordinator
110 SKYLINE DR
RUSSELLVILLE, AR 72801
Social Worker (School)
110 SKYLINE DR
RUSSELLVILLE, AR 72801
Case Manager/Care Coordinator
110 SKYLINE DR
RUSSELLVILLE, AR 72801
Licensed Practical Nurse
110 SKYLINE DR
RUSSELLVILLE, AR 72801
Case Manager/Care Coordinator
110 SKYLINE DR
RUSSELLVILLE, AR 72801
Counselor (Mental Health)
110 SKYLINE DR
RUSSELLVILLE, AR 72801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terry Beaverson's NPI number?

The NPI number for Terry Beaverson is 1902937261. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Terry Beaverson located?

Terry Beaverson practices at 110 Skyline Dr, Russellville, AR 72801. The listed phone number is (479) 967-5570.

What is Terry Beaverson's specialty?

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

When was this NPI record last updated?

The NPPES record for Terry Beaverson was last updated on November 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.