Organization Active NPI

Victoria Beck, MSW, Licsw LLC

  • Clinical Social Worker
  • Grand Rapids, MN
National Provider Identifier
1295264398
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10490 Issued in MN
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20170622001584 MN Part B Supplier - Clinic/Group Practice 7618245259 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Rapids, MN

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.

Verify at the official NPI Registry.