Provider Demographics
NPI:1124421375
Name:MARCIA BECK LCSW
Entity type:Organization
Organization Name:MARCIA BECK LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:484-949-9659
Mailing Address - Street 1:828 N HANOVER ST
Mailing Address - Street 2:LOWER
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-4207
Mailing Address - Country:US
Mailing Address - Phone:484-949-9659
Mailing Address - Fax:484-949-9684
Practice Address - Street 1:828 N HANOVER ST
Practice Address - Street 2:LOWER
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-4207
Practice Address - Country:US
Practice Address - Phone:484-949-9659
Practice Address - Fax:484-949-9684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0158771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA345067Medicare PIN