Carol A. Beckman, LCSW
Individual provider Active NPI Clinical Social Worker · Machias, ME
NPI 1477700334 · NPPES record last updated Aug 22, 2008
Key facts
- NPI
- 1477700334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC4517 (ME)
- Practice address
- 26 Main St
Machias, ME 04654-1165 - Phone
- (207) 255-3417
- NPI assigned
- Aug 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC4517 | ME | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC4517 | ME | Yes |
Addresses
Primary practice location
26 Main St
Machias, ME 04654-1165
Mailing address
PO Box 601
Machias, ME 04654-0601
Phone (207) 255-3417
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MM5964 | Other | ME | MEDICARE B PROVIDER NUMBER |
Other providers in Machias, ME
- Deiascha-Britte Bancayanvega
- Gino Bancayanvega
- Bay View Physical Therapy Limited Partnership
- Bay View Physical Therapy LTD.
- Laurel A Beal
- Colleen Mary Begley
- Diane Bell
- Thomas Daniel Beraha
- Tina Bourgoin
- Judd Lucas Bragg
All providers in Machias, ME · Clinical Social Worker in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2008. 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.