Active NPI
Victoria Beck, MSW, Licsw LLC
- Clinical Social Worker
- Grand Rapids, MN
National Provider Identifier
1295264398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10490
- Legal business name
- VICTORIA BECK, MSW, LICSW LLC
- Practice address
- 1749 SE 2ND Ave
Grand Rapids, MN 55744-2576 - Phone
- (218) 326-9781
- Fax
- (218) 326-9157
- NPI assigned
- Jun 12, 2017
- Organization subpart
- Yes
- Parent organization
- VICTORIA BECK, MSW, LICSW LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina M Hanson
- Title
- Office Manager
- Phone
- (218) 326-9781
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10490 | MN | Primary |
Addresses
Primary practice location
1749 SE 2ND Ave
Grand Rapids, MN 55744-2576
Mailing address
1749 SE 2ND Ave
Grand Rapids, MN 55744-2576
Phone (218) 326-9781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Victoria Beck MSW Licsw LLC
Locations
816 S Pokegama Ave
Ste E
Grand Rapids, MN 55744
Phone (218) 360-4177
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1295264398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1749 SE 2ND AVE",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557442576",
"telephone_number": "218-326-9781",
"fax_number": "218-326-9157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1749 SE 2ND AVE",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557442576",
"telephone_number": "218-326-9781",
"fax_number": "218-326-9157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORIA BECK, MSW, LICSW LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VICTORIA BECK, MSW, LICSW LLC",
"enumeration_date": "2017-06-12",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "HANSON",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "218-326-9781"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "10490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.