Provider Demographics
NPI:1518139476
Name:BECK, MARCIA L (LISW-CP)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:L
Last Name:BECK
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2074 FLOWING SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-2632
Mailing Address - Country:US
Mailing Address - Phone:610-827-7509
Mailing Address - Fax:
Practice Address - Street 1:828 N HANOVER ST
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-4253
Practice Address - Country:US
Practice Address - Phone:610-827-7509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-31
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC88921041C0700X
PACW0158771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA9180Medicare PIN