Active NPI
Nancy Kay S Beckes, LICSW
- Clinical Social Worker
- Roseville, MN
National Provider Identifier
1295897494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8782
- Practice address
- 1711 County Road B W
200S
Roseville, MN 55113-4057 - Phone
- (651) 635-0477
- Fax
- (651) 635-0455
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8782 | MN | Primary |
Addresses
Primary practice location
1711 County Road B W
200S
Roseville, MN 55113-4057
Mailing address
168 6TH St E
#3403
Saint Paul, MN 55101-1991
Phone (651) 291-2475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8782 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295897494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 6TH ST E",
"address_2": "#3403",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551011991",
"telephone_number": "651-291-2475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 COUNTY ROAD B W",
"address_2": "200S",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551134057",
"telephone_number": "651-635-0477",
"fax_number": "651-635-0455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKES",
"first_name": "NANCY",
"middle_name": "KAY S",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "8782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.