Provider Demographics
NPI:1306939871
Name:BECK, RICHARD (LCSW BCD CGP FAGPA)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:
Last Name:BECK
Suffix:
Gender:M
Credentials:LCSW BCD CGP FAGPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 WEST 72ND STREET
Mailing Address - Street 2:SUITE 1E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-3411
Mailing Address - Country:US
Mailing Address - Phone:212-721-7395
Mailing Address - Fax:212-721-1256
Practice Address - Street 1:37 WEST 72ND STREET
Practice Address - Street 2:SUITE 1E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-3411
Practice Address - Country:US
Practice Address - Phone:212-721-7395
Practice Address - Fax:212-721-1256
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR04673511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN1433Medicare ID - Type Unspecified