Kenyuana M Beachem, LCSW is a
Social Worker - Clinical based in Bolton, Mississippi. Kenyuana M Beachem is licensed to practice in Mississippi (license number C7835) and her current practice location is
4232 S Norrell Rd, Bolton, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 624-3696.
NPI number for Kenyuana M Beachem is 1851703961 and her current mailing address is 4232 S Norrell Rd, Bolton, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851703961.
Healthcare Provider's Profile
| Full Name | Kenyuana M Beachem |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4232 S Norrell Rd, Bolton, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851703961
- Provider Enumeration Date: 05/22/2014
- Last Update Date: 12/03/2014
Medical Identifiers
Medical identifiers for Kenyuana M Beachem such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1851703961 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | C7835 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenyuana M Beachem is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kenyuana M Beachem, LCSW 4232 S Norrell Rd, Bolton, MS 39041-9240 Ph: (601) 624-3696 | Kenyuana M Beachem, LCSW 4232 S Norrell Rd, Bolton, MS 39041-9240 Ph: (601) 624-3696 |
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