Bean, Kimberly L.
Bean, Kimberly L. is an individual health care provider with primary practice located at 7617 Mineral Point Rd Ste 300, Madison WI 53717-1623. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bean, Kimberly L. can be contacted via phone (608) 833-9290.Contact Information
Primary practice address
7617 Mineral Point Rd Ste 300
Madison WI 53717-1623
Phone: (608) 833-9290
Fax: (608) 833-9691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3671-123 AND 1377 | Wisconsin |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3671-123 | Wisconsin |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1377-132 | Wisconsin |
Profile Details
| NPI number | 1508822396 |
|---|---|
| LBN Legal business name | Bean, Kimberly L. |
| Credentials | LCSW, CADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Jan 19th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508822396 | NPPES |
| Wisconsin | Other | 391627035010 | BLUE CROSS/BLUE SHIELD |
| Wisconsin | MEDICAID | 39241700 | BLUE CROSS/BLUE SHIELD |
| Wisconsin | Other | 12020 | BLUE CROSS/BLUE SHIELD |
| Wisconsin | Other | 999003778 | BLUE CROSS/BLUE SHIELD |
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