Individual
MS. CAROLYN ANN BECKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
4010 DUPONT CIR, SUITE L05-C, LOUISVILLE, KY 40207-4812
(502) 899-7030
(502) 899-7030
Mailing address
PO BOX 43231, LOUISVILLE, KY 40253-0231
(502) 899-7030
(502) 899-7030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
407
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042919
ANTHEM PIN
KY
Enumeration date
02/16/2007
Last updated
07/08/2007
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