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

Mr. Timothy Alan Beaudry, LCSW

Individual provider Clinical Social Worker · NPI 1689065674

Mr. Timothy Alan Beaudry, LCSW is a Clinical Social Worker in Nellis AFB, Nevada. Licensed in Nevada. Registered with an NPI since 2015.

Licensed in
NV
In the registry since
2015
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone: (702) 653-2273
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 LCSW-7785-C (NV)

Record details

NPI number1689065674
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 11, 2015
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

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