Provider Demographics
NPI:1245908250
Name:BEEGLE, ALICIA RENE (LSW)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:RENE
Last Name:BEEGLE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:RENE
Other - Last Name:PALK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:121 KINGS ARMS AT WATERFOR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9158
Mailing Address - Country:US
Mailing Address - Phone:717-968-1618
Mailing Address - Fax:
Practice Address - Street 1:410 N PRINCE ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3010
Practice Address - Country:US
Practice Address - Phone:717-560-7917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW138550104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker