Provider Demographics
NPI:1407166390
Name:SESIT, BETH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:
Last Name:SESIT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:SESIT
Other - Last Name:BURNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSW
Mailing Address - Street 1:101 NOAH'S LANE
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-5373
Mailing Address - Country:US
Mailing Address - Phone:812-288-6800
Mailing Address - Fax:812-282-6853
Practice Address - Street 1:101 NOAH'S LANE
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-5373
Practice Address - Country:US
Practice Address - Phone:812-288-6800
Practice Address - Fax:812-282-6553
Is Sole Proprietor?:No
Enumeration Date:2010-10-14
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5833171M00000X
IN34007289A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator