MEDICARE: JOANNA R BECKER

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	8791-123	WI

General Provider Information

NPI Number	:	1972126332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNA R BECKER

Provider Business Mailing Address
First Line	:	830 DERBY DR
Second Line	:
City	:	SUN PRAIRIE
State	:	WI
Zip	:	53590-2406
Country	:	US
Telephone Number	:	314-221-7101
Fax Number	:

Provider Business Practice Location Address
First Line	:	830 DERBY DR
Second Line	:
City	:	SUN PRAIRIE
State	:	WI
Zip	:	53590-2406
Country	:	US
Telephone Number	:	314-221-7101
Fax Number	:

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

Provider Enumeration Date	:	05/20/2020
Last Update Date	:	05/20/2020

Similar Medicare Providers

1629211735 — ECONOMY DENTURES OF LAKE MARY
Practice Location Address:

890 S SUN DR
LAKE MARY, FL
32746-2406

Practice Phone: 407-333-3508
Practice Fax: 407-804-5189

1356571707 — MR. BILL JEROME KRONENBERG RPH
Practice Location Address:

14625 N CAMEO DR
SUN CITY, AZ
85351-2406

Practice Phone: 623-399-8217
Practice Fax: 623-399-8217

1356826945 — AFFORDABLE DENTURES & IMPLANTS - LAKE MARY, P.A.
Practice Location Address:

890 S SUN DR
LAKE MARY, FL
32746-2406

Practice Phone: 404-333-4610
Practice Fax:

1518420561 — AFFORDABLE DENTURES & IMPLANTS - LAKE MARY II, P.A.
Practice Location Address:

890 S SUN DR
LAKE MARY, FL
32746-2406

Practice Phone: 407-333-3508
Practice Fax:

1003709759 — CREATIVE CONCEPTS IN OCCUPATIONAL THERAPY LLC
Practice Location Address:

2406 OLD NANTUCKET CT
SUN CITY CENTER, FL
33573-7130

Practice Phone: 716-946-0287
Practice Fax:

1508701350 — KATHRYN BAILEY BARNES
Practice Location Address:

1051 OKEEFFE AVE APT 147
SUN PRAIRIE, WI
53590-4142

Practice Phone: 920-241-0104
Practice Fax:

Directions to “ JOANNA R BECKER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.