Provider Demographics
NPI:1356560296
Name:BECKMEYER, SUZANNE M (MSW)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:M
Last Name:BECKMEYER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1131 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044-4001
Mailing Address - Country:US
Mailing Address - Phone:513-422-7016
Mailing Address - Fax:513-422-5263
Practice Address - Street 1:1131 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-4001
Practice Address - Country:US
Practice Address - Phone:513-422-7016
Practice Address - Fax:513-422-5263
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-07000311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical