Provider Demographics
NPI:1386848679
Name:BECKMAN, RANDI FRANCES (MA)
Entity Type:Individual
Prefix:MS
First Name:RANDI
Middle Name:FRANCES
Last Name:BECKMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:X
Other - Middle Name:X
Other - Last Name:X
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, MSW, ASW
Mailing Address - Street 1:251 LLEWELLYN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95008
Mailing Address - Country:US
Mailing Address - Phone:408-963-8033
Mailing Address - Fax:
Practice Address - Street 1:251 LLEWELLYN AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95008
Practice Address - Country:US
Practice Address - Phone:408-963-8033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2013-03-11
Deactivation Date:2012-06-01
Deactivation Code:
Reactivation Date:2013-01-29
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker