Provider Demographics
NPI:1629191721
Name:BEACHAM, FRAN A (LCSW)
Entity Type:Individual
Prefix:
First Name:FRAN
Middle Name:A
Last Name:BEACHAM
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 1:6842 ELM ST STE 201
Mailing Address - Street 2:
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3855
Mailing Address - Country:US
Mailing Address - Phone:703-391-8668
Mailing Address - Fax:
Practice Address - Street 1:6842 ELM ST STE 201
Practice Address - Street 2:
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3855
Practice Address - Country:US
Practice Address - Phone:703-391-8668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040014981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical