| Joanne Beck, Licsw | |
|
19 Green Mountain Rd Manchester Center VT 05255-9791 | |
| (802) 779-1819 | |
| Not Available |
| Full Name | Joanne Beck, Licsw |
|---|---|
| Speciality | Clinic/Center |
| Location | 19 Green Mountain Rd, Manchester Center, Vermont |
| Authorized Official Name and Position | Joanne R Beck (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8027791819 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joanne Beck, Licsw Po Box 514 Bondville VT 05340-0514 Ph: (802) 779-1819 | Joanne Beck, Licsw 19 Green Mountain Rd Manchester Center VT 05255-9791 Ph: (802) 779-1819 |
| NPI Number | 1942946728 |
|---|---|
| Provider Enumeration Date | 05/05/2022 |
| Last Update Date | 06/22/2022 |
| Certification Date | 06/22/2022 |
| Medicare PECOS PAC ID | 9931579786 |
|---|---|
| Medicare Enrollment ID | O20230112000614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942946728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Joanne Beck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598221350 PECOS PAC ID: 4183966138 Enrollment ID: I20190424000121 |
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