Provider Demographics
NPI:1063768604
Name:BECK, NATALIE DEANN (LCSW)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:DEANN
Last Name:BECK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2403 W BEN WHITE BLVD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-7534
Mailing Address - Country:US
Mailing Address - Phone:512-707-2782
Mailing Address - Fax:512-707-2783
Practice Address - Street 1:2403 W BEN WHITE BLVD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-7534
Practice Address - Country:US
Practice Address - Phone:512-707-2782
Practice Address - Fax:512-707-2783
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-01
Last Update Date:2014-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX530641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical