Provider Demographics
NPI:1467551325
Name:BEECHER, KEVIN NEAL (LCSW)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:NEAL
Last Name:BEECHER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3263 FRASER ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-1217
Mailing Address - Country:US
Mailing Address - Phone:303-371-1000
Mailing Address - Fax:303-371-1002
Practice Address - Street 1:3263 FRASER ST
Practice Address - Street 2:SUITE 3
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-1217
Practice Address - Country:US
Practice Address - Phone:303-371-1000
Practice Address - Fax:303-371-1002
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLCSW-8571041C0700X
WYLCSW-6381041C0700X
COCSW-099232011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical