Provider Demographics
NPI:1841335601
Name:TRUE, PATRICIA BECK (LCSW)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:BECK
Last Name:TRUE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:TRICIA
Other - Middle Name:B
Other - Last Name:TRUE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:67 ARCADIA COVE RD
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:ME
Mailing Address - Zip Code:04917-3253
Mailing Address - Country:US
Mailing Address - Phone:207-621-0766
Mailing Address - Fax:
Practice Address - Street 1:67 ARCADIA COVE RD
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:ME
Practice Address - Zip Code:04917-3253
Practice Address - Country:US
Practice Address - Phone:207-621-0766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC17051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME006941Medicare UPIN