Provider Demographics
NPI:1306852298
Name:BEARD, WILLIAM WASHINGTON (LMSW)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:WASHINGTON
Last Name:BEARD
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 S 1ST ST
Mailing Address - Street 2:CENTRAL TEXAS VETERANS HCS
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-7451
Mailing Address - Country:US
Mailing Address - Phone:254-743-2273
Mailing Address - Fax:254-743-0575
Practice Address - Street 1:1901 S 1ST ST
Practice Address - Street 2:CENTRAL TEXAS VETERANS HCS
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-7451
Practice Address - Country:US
Practice Address - Phone:254-743-2273
Practice Address - Fax:254-743-0575
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS19758104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker