Kenyuana M Beachem, LCSW in Bolton, MS - Social Worker

Kenyuana M Beachem, LCSW is a Social Worker - Clinical based in Bolton, Mississippi. Kenyuana M Beachem is licensed to practice in Mississippi (license number C7835) and her current practice location is 4232 S Norrell Rd, Bolton, Mississippi. She can be reached at her office (for appointments etc.) via phone at (601) 624-3696.

NPI number for Kenyuana M Beachem is 1851703961 and her current mailing address is 4232 S Norrell Rd, Bolton, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851703961.

Contact Information

	Kenyuana M Beachem, LCSW
	4232 S Norrell Rd, Bolton, MS 39041-9240
	(601) 624-3696
	Not Available

Healthcare Provider's Profile

Full Name	Kenyuana M Beachem
Gender	Female
Speciality	Social Worker - Clinical
Location	4232 S Norrell Rd, Bolton, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1851703961
Provider Enumeration Date: 05/22/2014
Last Update Date: 12/03/2014

Medical Identifiers

Medical identifiers for Kenyuana M Beachem such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851703961	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C7835 (Mississippi)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenyuana M Beachem is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kenyuana M Beachem, LCSW 4232 S Norrell Rd, Bolton, MS 39041-9240 Ph: (601) 624-3696	Kenyuana M Beachem, LCSW 4232 S Norrell Rd, Bolton, MS 39041-9240 Ph: (601) 624-3696

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Kenyuana M Beachem, LCSW - Clinical Social Worker in Bolton, MS