Provider Demographics
NPI:1184493157
Name:KINAS-BECK, SARAH MARIE (CAPSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MARIE
Last Name:KINAS-BECK
Suffix:
Gender:F
Credentials:CAPSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MARIE
Other - Last Name:PAYNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CAPSW, CSW
Mailing Address - Street 1:214 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54449-2718
Mailing Address - Country:US
Mailing Address - Phone:715-869-6095
Mailing Address - Fax:
Practice Address - Street 1:214 W 5TH ST
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:WI
Practice Address - Zip Code:54449-2718
Practice Address - Country:US
Practice Address - Phone:715-869-6095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-01
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI134319-121104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical