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

Stephanie Beavis

Individual provider Clinical Social Worker · NPI 1205584752

Stephanie Beavis is a Clinical Social Worker in Southfield, Michigan. Qualified in 2021, 5 years ago. Registered with an NPI since 2022.

Years since qualifying
5
In the registry since
2022
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Practice location Address checks out

17515 W 9 Mile Rd Ste 345
Southfield, MI 48075-4403
Phone: (734) 497-8986
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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 number1205584752
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 14, 2022
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address9409 N Haggerty Rd, Plymouth, MI 48170-4696

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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