1427482124 NPI number — MRS. KATHARINE SCHOFIELD BEEM LCSW

Table of content: MS. KEYANA RENEE ACHEAMPONG LSW (NPI 1407375090)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427482124 NPI number — MRS. KATHARINE SCHOFIELD BEEM LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BEEM
Provider First Name:
KATHARINE
Provider Middle Name:
SCHOFIELD
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427482124
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/01/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1555 NE RICE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEES SUMMIT
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64086-5849
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-347-3069
Provider Business Mailing Address Fax Number:
816-966-0900

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7001 BLUE RIDGE BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RAYTOWN
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64133-5629
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-966-0900
Provider Business Practice Location Address Fax Number:
816-347-3029
Provider Enumeration Date:
08/29/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  2013021077 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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