Individual
MR. DANIEL M BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
718 HAMBRICK AVE APT 1, LEXINGTON, KY 40508-2339
(859) 619-7511
Mailing address
718 HAMBRICK AVE, LEXINGTON, KY 40508-2327
(859) 619-7511
(859) 545-4910
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW00001069
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101093860
—
KY
Enumeration date
08/20/2025
Last updated
05/07/2026
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