John Beck, ACSW, LCSW
Individual provider Active NPI Clinical Social Worker · Henderson, NC
NPI 1104970169 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1104970169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C001206 (NC)
- Practice address
- 941 W Andrews Ave Ste I
Henderson, NC 27536-2586 - Phone
- (252) 438-4740
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C001206 | NC | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C001206 | NC | Yes |
Addresses
Primary practice location
941 W Andrews Ave Ste I
Henderson, NC 27536-2586
Mailing address
941 W Andrews Ave Ste I
Henderson, NC 27536-2586
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6003198 | Medicaid | NC |
Other providers in Henderson, NC
- Alison Dawn Bartel
- Lizette Shanta Baskerville
- Ashley Bavar
- Emily Blackman Beasley
- Nicole Saint Simone Beaufort
- Beckford Avenue Medical Center PA
- Beckford Avenue Medical Center PA
- Beckford Drive Operating Company LLC
- Behavioral Health Diagnostics, PLLC
- Believer in You, LLC
All providers in Henderson, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.