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Deactivated NPI 1881615631 Deactivated / Inactive NPI Female Practitioner

Beverly Jean Lake , MSW

Social Worker • Taylor, MI

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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, Beverly Lake has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 21, 2006
NPI Deactivation Date July 16, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Beverly Lake, MSW was a registered Social Worker practicing in Taylor, MI. Throughout an active medical career spanning 20 years, Beverly Lake provided care at the practice location at 20600 EUREKA ROAD until profile deactivation on 2026-07-16.

Practice Location & Contact Primary Location

Practice Address

20600 Eureka Road
Suite 819

Taylor, MI 48180

Telephone 7342858282
Fax 7342810402
Associated Practice Facility / Clinic
🏢 Mercy Hands Home Care, Inc. Facility NPI 1922057165

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Taylor, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.0 Yrs
Regional Practice Density
29 Specialists

Practicing in Taylor, MI (9360 Statewide)

Telehealth Adoption Rate
0.0% 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 Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MI 6801011987

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

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

30 Associated Practitioners
Dr. Sheryl Richard , PhD

Counselor - Professional

NPI 1033277173

Doctor of Philosophy (Ph.D.)

Tula Michalakis , LMSW

Counselor - Mental Health

NPI 1093110645

Licensed Master Social Worker

NPI 1124049986

Licensed Master Social Worker

Joseph Barnes

Social Worker - School

NPI 1174800296
Bernard Ball , LMSW

Social Worker - Clinical

NPI 1184640187

Licensed Master Social Worker

Maria Sella

Psychologist - Clinical

NPI 1184669855

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 July 16, 2026

Record deactivated on July 16, 2026

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 20600 EUREKA ROAD, SUITE 819, TAYLOR, MI 48180 (Tel: 7342858282)

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Updated Business Mailing Address July 08, 2007

Registered at 5493 GREENWAY DRIVE, TRENTON, MI 481837207 (Tel: 7346920382)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BEVERLY LAKE, MSW

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

Social Worker (License #6801011987 in MI)

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Initial NPI Registration & Enumeration July 21, 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: 1881615631
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2006
Last Update: July 08, 2007
Deactivation Date: July 16, 2026

Mailing Address

5493 Greenway Drive

Trenton, MI 481837207

Phone: 7346920382

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.