Provider Demographics
NPI:1205693272
Name:STANTON, BETH ARDEN (LMSW)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:ARDEN
Last Name:STANTON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 GASKILL DR
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50014-7816
Mailing Address - Country:US
Mailing Address - Phone:515-231-7309
Mailing Address - Fax:
Practice Address - Street 1:2603 NORTHRIDGE PKWY STE 102
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-4046
Practice Address - Country:US
Practice Address - Phone:515-231-7309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1241641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical