Provider Demographics
NPI:1083135222
Name:BEAUVAIS, SYLVIE MARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:SYLVIE
Middle Name:MARIE
Last Name:BEAUVAIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:432 BROWN ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-2106
Mailing Address - Country:US
Mailing Address - Phone:267-997-2878
Mailing Address - Fax:
Practice Address - Street 1:1601 WALNUT ST STE 1523
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-2910
Practice Address - Country:US
Practice Address - Phone:267-997-2878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0194531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical