Healthcare Provider Details

I. General information

NPI: 1750486387
Provider Name (Legal Business Name): JOSEPH NORBERT BECK LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 04/13/2023
Certification Date: 04/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 BLUE RIDGE BLVD
RAYTOWN MO
64133-5629
US

IV. Provider business mailing address

1555 NE RICE RD
LEES SUMMIT MO
64086-5849
US

V. Phone/Fax

Practice location:
  • Phone: 816-966-0900
  • Fax: 816-761-3433
Mailing address:
  • Phone: 816-347-3069
  • Fax: 816-347-3200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2003029286
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: