Provider Demographics
NPI:1407160575
Name:VON GUGGENBERG, BEATRICE (LCSW)
Entity type:Individual
Prefix:MS
First Name:BEATRICE
Middle Name:
Last Name:VON GUGGENBERG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BEATRICE
Other - Middle Name:
Other - Last Name:KERR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2906 E FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-7922
Mailing Address - Country:US
Mailing Address - Phone:540-226-1912
Mailing Address - Fax:
Practice Address - Street 1:7702 E PARHAM RD FL 2
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4371
Practice Address - Country:US
Practice Address - Phone:804-675-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-01
Last Update Date:2024-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040072111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAQ380790281Medicare UPIN