Provider Demographics
NPI:1407160575
Name:KERR, BEATRICE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BEATRICE
Middle Name:
Last Name:KERR
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 1:307 LAFAYETTE BOULEVARD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401
Mailing Address - Country:US
Mailing Address - Phone:540-361-1556
Mailing Address - Fax:540-361-1557
Practice Address - Street 1:307 LAFAYETTE BOULEVARD
Practice Address - Street 2:SUITE 202
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401
Practice Address - Country:US
Practice Address - Phone:540-361-1556
Practice Address - Fax:540-361-1557
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-01
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040072111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAQ380790281Medicare UPIN