NPI 1770157943 · live from the CMS NPI Registry
Tomyra S. Beverly, LMSW
Social Worker in Middletown, DE. National Provider Identifier 1770157943, active.
NPI record
| NPI | 1770157943 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 115 N Broad St, Middletown, DE 19709 |
| Practice phone | 302-377-6911 |
| Mailing address | 74 Talley Dr, Smyrna, DE 19977 |
| Enumerated | May 13, 2021 |
| Last updated | May 13, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | Q3-0010585 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.