Provider Demographics
NPI:1740633130
Name:BECKWITH, DANIELLE (LMHC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:BECKWITH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 WEST UTICA STREET
Mailing Address - Street 2:SUITE E
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-3059
Mailing Address - Country:US
Mailing Address - Phone:315-286-2075
Mailing Address - Fax:315-410-5544
Practice Address - Street 1:106 WEST UTICA STREET
Practice Address - Street 2:SUITE E
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-3059
Practice Address - Country:US
Practice Address - Phone:315-286-2075
Practice Address - Fax:315-410-5544
Is Sole Proprietor?:No
Enumeration Date:2016-07-20
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007278101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health