Provider Demographics
NPI:1184180440
Name:BECKETT, NADINE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:NADINE
Middle Name:
Last Name:BECKETT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 KETTLE CT
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2511
Mailing Address - Country:US
Mailing Address - Phone:410-530-3332
Mailing Address - Fax:
Practice Address - Street 1:3100 LORD BALTIMORE DR STE 208
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-2882
Practice Address - Country:US
Practice Address - Phone:410-701-7384
Practice Address - Fax:410-521-7005
Is Sole Proprietor?:No
Enumeration Date:2019-02-12
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09018104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker