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

Miss. Jolisa V Beavers

Individual provider Clinical Social Worker · NPI 1811675978

Miss. Jolisa V Beavers is a Clinical Social Worker in Bronx, New York. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

579 Courtlandt Ave
Bronx, NY 10451-5013
Phone: (718) 485-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1811675978
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 10, 2023
Last updated in NPPESJuly 10, 2023
Certification dateJuly 9, 2023

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