Provider Demographics
NPI:1649603671
Name:BEATH, DANIEL HARRISON (LCSW)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:HARRISON
Last Name:BEATH
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 94TH ST APT 521
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-6947
Mailing Address - Country:US
Mailing Address - Phone:845-826-0117
Mailing Address - Fax:
Practice Address - Street 1:310 94TH ST APT 521
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-6947
Practice Address - Country:US
Practice Address - Phone:845-826-0117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-13
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical