Beatrice Ellen Durham, LMSW
Individual provider Active NPI Social Worker · Newark, DE
NPI 1750158499 · NPPES record last updated Dec 4, 2023
Key facts
- NPI
- 1750158499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- Q3-0011324 (DE)
- Practice address
- 100 Commerce Dr Ste 300
Newark, DE 19713-2878 - Phone
- (302) 224-1400
- NPI assigned
- Dec 4, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q3-0011324 | DE | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Atlantic Behavioral Health, LLC | Current |
Accepting new patients |
Locations
100 Commerce Dr
Ste 300
Newark, DE 19713
Phone (302) 530-1743
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Q3-0011324 | DE | Yes |
Addresses
Primary practice location
100 Commerce Dr Ste 300
Newark, DE 19713-2878
Mailing address
PO Box 92
Alloway, NJ 08001-0092
Phone (609) 805-9935
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2023. 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.