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NPI Code Detail

MEDICARE: MRS. CYNTHIA BEISHIR LCSW

MEDICARE:  MRS. CYNTHIA  BEISHIR  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker8580WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225108178
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CYNTHIA BEISHIR LCSW
Provider Business Mailing Address
First Line : 1160 KEPLER DR
Second Line :
City : GREEN BAY
State : WI
Zip : 54311-8321
Country : US
Telephone Number : 920-288-5630
Fax Number : 920-288-5631
Provider Business Practice Location Address
First Line : 1160 KEPLER DR
Second Line :
City : GREEN BAY
State : WI
Zip : 54311-8321
Country : US
Telephone Number : 920-288-5630
Fax Number : 920-288-5631
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 12/07/2021

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Directions to “ MRS. CYNTHIA BEISHIR LCSW” Practice Location

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