Beecroft, Marlene Ann

Beecroft, Marlene Ann is an individual health care provider with primary practice located at 1930 Coon Rapids Boulevard Family Life Mental Health Center, Coon Rapids MN 55433. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Beecroft, Marlene Ann can be contacted via phone (763) 427-7964.

Contact Information

Primary practice address
1930 Coon Rapids Boulevard Family Life Mental Health Center Coon Rapids MN 55433
Fax: (763) 427-7976
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LP01724 Minnesota
Behavioral Health & Social Service Providers / Social Worker 104100000X 01724 Minnesota

Profile Details

NPI number 1194867432
LBN Legal business name Beecroft, Marlene Ann
Credentials MSSW, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Dec 10th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194867432 NPPES
Minnesota Other 150322 U-CARE
Minnesota Other HP30584 U-CARE
Minnesota Other 6C871BE U-CARE
Minnesota Other 1011797 U-CARE
Minnesota MEDICAID 472357100 U-CARE

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