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NPI Code Detail

MEDICARE: JASON BECK LMSW

MEDICARE: JASON BECK LMSW
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
1104100000XSocial Worker125402-01NY

General Provider Information

NPI Number : 1659222891
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON BECK LMSW
Provider Business Mailing Address
First Line : 13 IMPALA DR
Second Line :
City : CENTEREACH
State : NY
Zip : 11720-1504
Country : US
Telephone Number : 631-624-5194
Fax Number : 631-624-5194
Provider Business Practice Location Address
First Line : 31 INDUSTRIAL BLVD
Second Line :
City : MEDFORD
State : NY
Zip : 11763-2220
Country : US
Telephone Number : 631-924-4411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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