Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mallorie Kay Beavers, LCSWA, LCASA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1508799487

Mallorie Kay Beavers, LCSWA, LCASA is an Addiction (Substance Use Disorder) Counselor in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2026.

Licensed in
NC
In the registry since
2026
Specialties on file
2

Practice location Address checks out

3117 Poplarwood Ct Ste 115
Raleigh, NC 27604-1040
Phone: (919) 787-6131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P023989 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-31860 (NC)

Record details

NPI number1508799487
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA , LCASA
Sole proprietorNo
NPI enumeratedJune 8, 2026
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

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