LISA D BEVERIDGE (LSW) – Clinical Social Worker, NPI 1871653584

LISA D BEVERIDGE (LSW) is a healthcare provider. based in Blandon, Pennsylvania. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LSW. They hold a License No. SW122833 (PA). The NPI Number for LISA D BEVERIDGE (LSW) is 1871653584

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
LISA D BEVERIDGE (LSW)
NPI
1871653584
Phone
(610) 944-5555
Address
850 Golden Dr Ste 1
Enumeration Date
11 December 2006
Last Update Date
21 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6109448800
Graduation Year
2001 (25 years ago)
PAC ID
3476852351
Group Practice PAC ID
3072425123
Professional Enrollment ID
I20160427001228
Address ID
PA195229273FL14351RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,438 CLINICAL SOCIAL WORKER in PA

Provider Addresses for LISA D BEVERIDGE (LSW)

  • 850 Golden Dr Ste 1

    Blandon, PA 195109657

    Phone: (610) 944-5555

    Fax: (610) 944-5551

    Type: Location

  • 333 Normal Ave Ste 201

    Kutztown, PA 195301640

    Phone: (610) 683-8363

    Fax: (610) 683-3532

    Type: Location

  • 700 Hawk Ridge Dr

    Hamburg, PA 195269219

    Phone: (610) 562-3066

    Fax: (610) 562-3125

    Type: Location

  • 411, North Cedar Crest Boulevard, Hilltown, Cetronia, South Whitehall Township, Lehigh County, Pennsylvania, 18104, United States

    ALLENTOWN, PA 181042323

    Phone: (610) 969-1914

    Fax: (610) 969-3951

    Type: Mailing

  • Fleetwood Bank, Kutztown Road, Maxatawny Township, Berks County, Pennsylvania, 19530, United States

    FLEETWOOD, PA 195229273

    Phone: (610) 944-8800

    Fax: (610) 944-8213

    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: 2016-04-27

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
I20160427001228IClinical Social WorkerPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19510)

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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: 3072425123View full group profile

Reviews

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Frequently asked questions

How do payers reference LISA D BEVERIDGE (LSW)?
For LISA D BEVERIDGE (LSW), use NPI 1871653584 as the unique 10-digit identifier.
Is LISA D BEVERIDGE (LSW) shown as active in public data?
Registry records indicate LISA D BEVERIDGE (LSW) maintains an active NPI.
What kind of doctor is LISA D BEVERIDGE (LSW)?
LISA D BEVERIDGE (LSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is LISA D BEVERIDGE (LSW) located near Blandon?
LISA D BEVERIDGE (LSW) currently maps to Blandon, Pennsylvania in this extract.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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