Individual provider · Type 1 NPI

Timothy Alan Beaudry, LCSW

Clinical Social Worker · Nellis Afb, NV

NPI number 1689065674 Active

Practice location

4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600

Call (702) 653-2273 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-7785-C (NV)

Clinical Social Worker: 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 interpers…

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About NPI 1689065674

Timothy Alan Beaudry, LCSW's National Provider Identifier is 1689065674, issued on Feb 11, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Nellis Afb, NV. The record was last updated on Jun 24, 2026.