Provider Demographics
NPI:1770551327
Name:BECKWITH, KAREN L (LSCSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:BECKWITH
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1047 SW GAGE BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-1998
Mailing Address - Country:US
Mailing Address - Phone:785-845-9594
Mailing Address - Fax:
Practice Address - Street 1:1047 SW GAGE BLVD STE B
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-1998
Practice Address - Country:US
Practice Address - Phone:785-845-9594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS23261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS069749Medicare ID - Type Unspecified
KSP80748Medicare UPIN