Provider Demographics
NPI:1700293420
Name:BEAMER, MARTHA LEE (MSW)
Entity Type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:LEE
Last Name:BEAMER
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 1:1256 CREST DR
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15071-1750
Mailing Address - Country:US
Mailing Address - Phone:412-848-3398
Mailing Address - Fax:
Practice Address - Street 1:600 WASHINGTON AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-2022
Practice Address - Country:US
Practice Address - Phone:412-257-5900
Practice Address - Fax:888-230-3454
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0123511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical