Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1467511261 Deactivated / Inactive NPI Male Practitioner

Dr. Jerrold Foster Beaumont , PhD, LCSW

Social Worker - Clinical • Cocoa, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerrold Beaumont has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 07, 2006
NPI Deactivation Date January 28, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Jerrold Beaumont, PhD, LCSW was a registered Social Worker - Clinical practicing in Cocoa, FL. Throughout an active medical career spanning 14 years, Dr. Beaumont provided care at the practice location at 3735 INDIAN RIVER DR until profile deactivation on 2020-01-28.

Practice Location & Contact Primary Location

Practice Address

3735 Indian River Dr

Cocoa, FL 329268705

Telephone 8005441817

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Cocoa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.7 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
28 Specialists

Practicing in Cocoa, FL (13861 Statewide)

Telehealth Adoption Rate
17.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License FL SW7541

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Sarah Phillips , NCC, LMHC

Counselor - Mental Health

NPI 1073663951

National Certified Counselor, Licensed Mental Health Counselor

Michael Story , NCC LMHC CCMHC DCC

Counselor - Mental Health

NPI 1124133822

NCCLMHCCCMHCDCC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 28, 2020

Record deactivated on January 28, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3735 INDIAN RIVER DR, COCOA, FL 329268705 (Tel: 8005441817)

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Updated Business Mailing Address July 08, 2007

Registered at 8494 RIDGEWOOD AVE, 4201, CAPE CANAVERAL, FL 329202100 (Tel: 3218681057)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JERROLD BEAUMONT, PH.D., LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #SW7541 in FL)

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Initial NPI Registration & Enumeration December 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467511261
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2006
Last Update: July 08, 2007
Deactivation Date: January 28, 2020

Mailing Address

8494 Ridgewood Ave, 4201

Cape Canaveral, FL 329202100

Phone: 3218681057

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.