Provider Demographics
NPI:1588992937
Name:DANIEL BECK, LICSW, LLC
Entity type:Organization
Organization Name:DANIEL BECK, LICSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:617-470-3900
Mailing Address - Street 1:19 PERRY ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-6922
Mailing Address - Country:US
Mailing Address - Phone:617-470-3900
Mailing Address - Fax:617-739-1796
Practice Address - Street 1:1330 BEACON ST
Practice Address - Street 2:SUITE 250
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-3282
Practice Address - Country:US
Practice Address - Phone:617-470-3900
Practice Address - Fax:617-739-1796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-23
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1029465104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty