Provider Demographics
NPI:1275614067
Name:BECKENSTEIN, PAULA G (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:G
Last Name:BECKENSTEIN
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 1:9 WHITLAW CLOSE
Mailing Address - Street 2:
Mailing Address - City:CHAPPAQUE
Mailing Address - State:NY
Mailing Address - Zip Code:10514-1011
Mailing Address - Country:US
Mailing Address - Phone:914-242-8647
Mailing Address - Fax:914-241-3887
Practice Address - Street 1:9 WHITLAW CLOSE
Practice Address - Street 2:
Practice Address - City:CHAPPAQUE
Practice Address - State:NY
Practice Address - Zip Code:10514-1011
Practice Address - Country:US
Practice Address - Phone:914-242-8647
Practice Address - Fax:914-241-3887
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR00274911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYND9001Medicare ID - Type Unspecified