Provider Demographics
NPI:1518249770
Name:BEISER, VICKI L (LMSW)
Entity type:Individual
Prefix:MRS
First Name:VICKI
Middle Name:L
Last Name:BEISER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2303 COUNTY ROAD 76
Mailing Address - Street 2:
Mailing Address - City:QUINTER
Mailing Address - State:KS
Mailing Address - Zip Code:67752-6053
Mailing Address - Country:US
Mailing Address - Phone:785-754-2220
Mailing Address - Fax:
Practice Address - Street 1:750 S RANGE AVE
Practice Address - Street 2:
Practice Address - City:COLBY
Practice Address - State:KS
Practice Address - Zip Code:67701-2905
Practice Address - Country:US
Practice Address - Phone:785-462-6774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS8221104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker