MEDICARE: TAMI L BEAN MSW, 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
1	1041C0700X	Clinical Social Worker	00001637	CO

General Provider Information

NPI Number	:	1285880393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMI L BEAN MSW, LCSW

Provider Business Mailing Address
First Line	:	7625 SIERRA PINE DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-2939
Country	:	US
Telephone Number	:	719-377-3866
Fax Number	:

Provider Business Practice Location Address
First Line	:	3595 E FOUNTAIN BLVD STE 140
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80910-1734
Country	:	US
Telephone Number	:	719-377-3866
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2008
Last Update Date	:	01/07/2026

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