| Victoria Beck, Msw, Licsw Llc | |
|
1749 Se 2nd Ave Grand Rapids MN 55744-2576 | |
| (218) 326-9781 | |
| (218) 326-9157 |
| Full Name | Victoria Beck, Msw, Licsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1749 Se 2nd Ave, Grand Rapids, Minnesota |
| Authorized Official Name and Position | Christina M Hanson (OFFICE MANAGER) |
| Authorized Official Contact | 2183269781 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Beck, Msw, Licsw Llc 1749 Se 2nd Ave Grand Rapids MN 55744-2576 Ph: (218) 326-9781 | Victoria Beck, Msw, Licsw Llc 1749 Se 2nd Ave Grand Rapids MN 55744-2576 Ph: (218) 326-9781 |
| NPI Number | 1295264398 |
|---|---|
| Provider Enumeration Date | 06/12/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7618245259 |
|---|---|
| Medicare Enrollment ID | O20170622001584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295264398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10490 (Minnesota) | Primary |
| Provider Name | Victoria L Beck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316151418 PECOS PAC ID: 9234322454 Enrollment ID: I20101020001069 |
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