DR. BEVERLEY BANKS WATKINS (PH.D.) – Clinical Social Worker, NPI 1568583136

DR. BEVERLEY BANKS WATKINS (PH.D.) is a healthcare provider. based in Edwardsville, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials PH.D.. They hold a License No. 149004814 (IL). The NPI Number for DR. BEVERLEY BANKS WATKINS (PH.D.) is 1568583136

Main info

Female
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. BEVERLEY BANKS WATKINS (PH.D.)
NPI
1568583136
Phone
(618) 692-0343
Address
1919 MEADOW LN
Enumeration Date
2 April 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6183984226
Graduation Year
1991 (35 years ago)
PAC ID
9133187438
Group Practice PAC ID
3870028251
Professional Enrollment ID
I20050103000352
Address ID
IL622082089FA141XXPLXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for DR. BEVERLEY BANKS WATKINS (PH.D.)

  • 1919 MEADOW LN

    EDWARDSVILLE, IL 620255520

    Phone: (618) 692-0343

    Fax: (618) 692-0349

    Type: Mailing

  • 2014 VANDALIA ST

    COLLINSVILLE, IL 622344848

    Phone: (618) 345-9536

    Fax: (618) 345-9587

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050103000352IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour16715$0
View full utilization report →

Insurance plans in this area (ZIP 62025)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870028251View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Nurse PractitionerMO
Nurse PractitionerIL
Nurse PractitionerIL
P S Y C H I A T R YIL
Nurse PractitionerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerMO

Reviews

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Frequently asked questions

Can I use this page to confirm DR. BEVERLEY BANKS WATKINS (PH.D.)'s NPI?
Yes. DR. BEVERLEY BANKS WATKINS (PH.D.) is listed with NPI 1568583136 in the public NPI dataset.
Is DR. BEVERLEY BANKS WATKINS (PH.D.) listed as active for patients and plans?
The listing shows DR. BEVERLEY BANKS WATKINS (PH.D.) as active in the NPI system.
What is DR. BEVERLEY BANKS WATKINS (PH.D.) best known for clinically?
Directory data describes DR. BEVERLEY BANKS WATKINS (PH.D.) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What area does DR. BEVERLEY BANKS WATKINS (PH.D.) serve?
DR. BEVERLEY BANKS WATKINS (PH.D.)'s listing highlights Edwardsville, Illinois; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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