Provider Demographics
NPI:1962710137
Name:BECK, TRICIA (LMSW-IPR, LCDC-I)
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:
Last Name:BECK
Suffix:
Gender:F
Credentials:LMSW-IPR, LCDC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W ADAMS SREET
Mailing Address - Street 2:SUITE 514
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606
Mailing Address - Country:US
Mailing Address - Phone:312-578-9990
Mailing Address - Fax:312-275-7663
Practice Address - Street 1:300 W ADAMS SREET
Practice Address - Street 2:SUITE 514
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60606
Practice Address - Country:US
Practice Address - Phone:312-578-9990
Practice Address - Fax:312-275-7663
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-21
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker