Provider Demographics
NPI:1588768287
Name:BECKLUND, ANNETTE L (LCSW)
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:L
Last Name:BECKLUND
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:PO BOX 3870
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34611-3870
Mailing Address - Country:US
Mailing Address - Phone:727-859-7316
Mailing Address - Fax:732-782-0345
Practice Address - Street 1:11027 SPRING HILL DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-5049
Practice Address - Country:US
Practice Address - Phone:727-859-7316
Practice Address - Fax:732-782-0345
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052140001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical