Provider Demographics
NPI:1841392016
Name:BECK, BETTY J PADILLA (LCSW)
Entity Type:Individual
Prefix:
First Name:BETTY
Middle Name:J PADILLA
Last Name:BECK
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 1:1978 BABCOCK RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4512
Mailing Address - Country:US
Mailing Address - Phone:210-422-2662
Mailing Address - Fax:210-735-4929
Practice Address - Street 1:1978 BABCOCK RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4512
Practice Address - Country:US
Practice Address - Phone:210-422-2662
Practice Address - Fax:210-735-4929
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX303661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical