Provider Demographics
NPI:1306130646
Name:BEILSMITH, ELIZABETH ESTHER (LCSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ESTHER
Last Name:BEILSMITH
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 1:3103 VERDANT CT # 8-207
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-8137
Mailing Address - Country:US
Mailing Address - Phone:314-477-3395
Mailing Address - Fax:
Practice Address - Street 1:11722 N 17TH ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-5434
Practice Address - Country:US
Practice Address - Phone:813-971-8032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-03
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW132071041C0700X
MO20100340681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical