Provider Demographics
NPI:1689360992
Name:BECK, MAEGAN OLIVIA (SUPERVISEE IN SW)
Entity Type:Individual
Prefix:
First Name:MAEGAN
Middle Name:OLIVIA
Last Name:BECK
Suffix:
Gender:F
Credentials:SUPERVISEE IN SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16765 BORDER RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VA
Mailing Address - Zip Code:23192-2065
Mailing Address - Country:US
Mailing Address - Phone:804-815-4416
Mailing Address - Fax:
Practice Address - Street 1:1975 ELK HILL RD
Practice Address - Street 2:
Practice Address - City:GOOCHLAND
Practice Address - State:VA
Practice Address - Zip Code:23063-3318
Practice Address - Country:US
Practice Address - Phone:804-457-4866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker