Provider Demographics
NPI:1588875587
Name:BEER, JOHN L (MSW, LISW)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:L
Last Name:BEER
Suffix:
Gender:M
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4949 URBANA RD STE 201
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45502-8387
Mailing Address - Country:US
Mailing Address - Phone:937-390-3800
Mailing Address - Fax:937-390-3804
Practice Address - Street 1:1150 SCIOTO ST
Practice Address - Street 2:SUITE 200
Practice Address - City:URBANA
Practice Address - State:OH
Practice Address - Zip Code:43078-2289
Practice Address - Country:US
Practice Address - Phone:937-652-4555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-00043981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical