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NPI Code Detail

MEDICARE: CHELSEA FARIS BEACH LCSW

MEDICARE: CHELSEA FARIS BEACH 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
11041C0700XClinical Social WorkerSWC.0000001253CO

General Provider Information

NPI Number : 1316637929
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA FARIS BEACH LCSW
Provider Business Mailing Address
First Line : 6265 LANGE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-1609
Country : US
Telephone Number : 303-641-0908
Fax Number :
Provider Business Practice Location Address
First Line : 212 E MONUMENT ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-1004
Country : US
Telephone Number : 719-447-0370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2023
Last Update Date : 04/07/2026

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1144549601 — KAYLA M BETTIS-WEBER LCSW
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Directions to “ CHELSEA FARIS BEACH LCSW” Practice Location

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