Provider Demographics
NPI:1821293259
Name:BEAUMONT, PATRICIA L SPIRK (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:L SPIRK
Last Name:BEAUMONT
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 1:56 NORTHVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-3220
Mailing Address - Country:US
Mailing Address - Phone:717-560-9627
Mailing Address - Fax:
Practice Address - Street 1:705 OLDE HICKORY RD
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4929
Practice Address - Country:US
Practice Address - Phone:717-560-3768
Practice Address - Fax:717-560-6537
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-16
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0131961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical