Active NPIIndividual provider

Keely M Beach, LCSW

Social Worker, Clinical in Eugene, Oregon

NPI Number1407280134
Practice location
1200 Hilyard St Ste 570, Eugene, OR 97401-8168
Fax
458-205-7089
Last updated
August 20, 2019

Keely Marie Beach is a Social Worker, Clinical based in Eugene, OR. Keely Marie Beach practices in Eugene, OR and has the professional credentials of LCSW. The NPI Number for Keely Marie Beach is 1407280134 and holds a License No. L8191 (OR). The current practice location address for Keely Marie Beach is 1200 Hilyard St Ste 570, Eugene, OR 97401-8168 and can be reached out via phone at 458-205-7070 and via fax at 458-205-7089.

Provider Profile Details

NPI Number
1407280134
Provider Name
Keely Marie Beach
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1200 Hilyard St Ste 570, Eugene, OR 97401-8168
Phone Number
458-205-7070
Fax Number
458-205-7089
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 29, 2013
Last Update Date
August 20, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 Hilyard St Ste 570
Eugene, OR 97401-8168
City
Eugene
State
Oregon
Zip
97401-8168
Phone Number
458-205-7070
Fax Number
458-205-7089
Eugene, OR 97401Get directions →

Provider Business Mailing Address Details

Address
1115 SE 164TH Ave Dept 358
Vancouver, WA 98683-8004
City
Vancouver
State
WA
Zip
98683-8004
Phone Number
360-729-1412
Fax Number
360-729-3025

License Information

Taxonomy (1)
Counselor · 101Y00000X
License Number (2)
L8191
License State (2)
OR
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Keely M Beach, LCSW?

The NPI number of Keely M Beach, LCSW is 1407280134. It was assigned on August 29, 2013 and is currently active in the NPPES registry.

What is the specialty of Keely M Beach, LCSW?

Keely M Beach, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in OR under license number L8191.

Where does Keely M Beach, LCSW practice?

The practice location is 1200 Hilyard St Ste 570, Eugene, OR 97401-8168. The office can be reached at 458-205-7070 (phone) or 458-205-7089 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407280134 directly on the NPPES registry website.

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