Healthcare Provider Details

I. General information

NPI: 1053073809
Provider Name (Legal Business Name): ANGELA BEIMS LSCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2021
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 N 6TH ST
HIAWATHA KS
66434-2243
US

IV. Provider business mailing address

120 N 6TH ST
HIAWATHA KS
66434-2243
US

V. Phone/Fax

Practice location:
  • Phone: 785-740-4647
  • Fax: 785-746-0385
Mailing address:
  • Phone: 785-740-4647
  • Fax: 785-746-0385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLSCSW07185
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: