Provider Demographics
NPI:1871863886
Name:HEAN, BETH COLLINS (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:COLLINS
Last Name:HEAN
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:789 STEVENS RD
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02777-4711
Mailing Address - Country:US
Mailing Address - Phone:508-672-6560
Mailing Address - Fax:
Practice Address - Street 1:789 STEVENS RD
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:MA
Practice Address - Zip Code:02777-4711
Practice Address - Country:US
Practice Address - Phone:508-672-6560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-06
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICSW013401041C0700X
MA1175021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical