Individual provider · Type 1 NPI

Kelvette Beacham, LISW

Clinical Social Worker · Lyndhurst, OH

NPI number 1497097125 Active

Practice location

5010 Mayfield Rd Ste 210
Lyndhurst, OH 44124-2692

Fax (216) 378-3906

Mailing address

26151 Lake Shore Blvd Apt 1409W
Euclid, OH 44132-1156

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XS.0901415 (OH)
Clinical Social Worker Primary 1041C0700XL1500524 (OH)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1497097125

Kelvette Beacham, LISW's National Provider Identifier is 1497097125, issued on Mar 20, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lyndhurst, OH. The record was last updated on Jul 22, 2022.