Provider Demographics
NPI:1942617055
Name:BEEDE, DANA ANN (MSW)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:ANN
Last Name:BEEDE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:ANN
Other - Last Name:CURLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:502 PASADENA AVE S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33707-2126
Mailing Address - Country:US
Mailing Address - Phone:727-381-9500
Mailing Address - Fax:727-347-0893
Practice Address - Street 1:502 PASADENA AVE S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33707-2126
Practice Address - Country:US
Practice Address - Phone:727-381-9500
Practice Address - Fax:727-347-0893
Is Sole Proprietor?:No
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW 85311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL758942500Medicaid