Kourtney Beach, LCSW
Individual provider Active NPI Clinical Social Worker · Delano, CA
NPI 1922461839 · NPPES record last updated Nov 7, 2022
Key facts
- NPI
- 1922461839
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 82303 (CA)
- Practice address
- 3000 West Cecil Ave
Delano, CA 93215 - Phone
- (661) 721-6300
- NPI assigned
- Mar 30, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 82303 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 82303 | CA | Yes |
Addresses
Primary practice location
3000 West Cecil Ave
Delano, CA 93215
Mailing address
4612 Polo Jump CT
Bakersfield, CA 93312-5401
Phone (661) 337-0717
Other names
- Kourtney Leanne Bennett
Other providers in Delano, CA
- Ricki K. Barnes
- Patrick Barreraz
- Michael Paul Bartell
- Daniel Bastida Cortez
- Amy Suzanne Bauman
- Lindsey Bega
- Araceli Bejar Lua
- Ricardo Bernardino
- Edward Eugene Berreth
- Navdeep Bhullar
All providers in Delano, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2022. 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.