Provider Demographics
NPI:1881259869
Name:BECKMANN, SAMANTHA KAY (LICSW)
Entity type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:KAY
Last Name:BECKMANN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:SAMANTHA
Other - Middle Name:KAY
Other - Last Name:GASPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:5015 S REGAL ST APT N2111
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-8014
Mailing Address - Country:US
Mailing Address - Phone:254-881-9251
Mailing Address - Fax:
Practice Address - Street 1:2020 E 29TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-3948
Practice Address - Country:US
Practice Address - Phone:254-881-9251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical