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1609139641 NPI number — SANDRA LEE BEACH LICSW

NPI Number: 1609139641
Health Care Provider/Practitioner: SANDRA LEE BEACH LICSW

Information about “1609139641” NPI (SANDRA LEE BEACH LICSW) exists in 1609139641 in HTML format HTML  |  1609139641 in plain Text format TXT  |  1609139641 in PDF (Portable Document Format) PDF  |  1609139641 in an XML format XML  formats.

NPI Number : 1609139641 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609139641",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BEACH",
    "FirstName": "SANDRA",
    "MiddleName": "LEE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LICSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 1019",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HANCOCK",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "01237-1019",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "413-281-4958",
    "MailingAddressFaxNumber": "413-464-7759",
    "FirstLinePracticeLocationAddress": "877 SOUTH ST STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PITTSFIELD",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01201-8243",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "413-236-5656",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/22/2012",
    "LastUpdateDate": "04/21/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "113602",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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