Provider Demographics
NPI:1740751932
Name:ROPER, BETH ELAINE (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:ELAINE
Last Name:ROPER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 E GRACE ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-1741
Mailing Address - Country:US
Mailing Address - Phone:804-643-7226
Mailing Address - Fax:804-643-3529
Practice Address - Street 1:101 E GRACE ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-1741
Practice Address - Country:US
Practice Address - Phone:804-643-7226
Practice Address - Fax:804-643-3529
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040107421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical