Individual provider Active NPI

Willamina Beck, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1336969807
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09930994 Issued in CO
Practice address
1611 S Murray Blvd
Colorado Springs, CO 80916-4502
Phone
(719) 645-5637
NPI assigned
Oct 10, 2024
Last updated
Nov 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 09930994 CO Primary

Addresses

Primary practice location

1611 S Murray Blvd
Colorado Springs, CO 80916-4502

Mailing address

1611 S Murray Blvd
Colorado Springs, CO 80916-4502
Phone (719) 645-5637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241227001152 CO Practitioner - Clinical Social Worker 7012444300 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09930994COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Tempered Way Therapy LLC Clinical CurrentSince Jan 31, 2026 Accepting new patients
Bright Space Counseling Center CurrentSince Nov 1, 2024 Accepting new patients

Locations

1611 S Murray Blvd
Colorado Springs, CO 80916
Phone (719) 316-3853

1500 N Grant St
Ste R
Denver, CO 80203
Phone (719) 678-4680

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1336969807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S MURRAY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809164502",
            "telephone_number": "719-645-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S MURRAY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809164502",
            "telephone_number": "719-645-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "WILLAMINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09930994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.