Camille Benjamin, M.S.W., L.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW2027128-2 Issued in CT

Practice address

32 Letters St
Putnam, CT 06260-2016

Phone

(860) 928-1303

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• C&C Associates LLC

  • Clinical Social Worker
  • Putnam, CT
  • NPI 1568193019

  Clinical, CT

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1013009869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 LETTERS ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062602016",
            "telephone_number": "860-928-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 LETTERS ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062602016",
            "telephone_number": "860-928-1303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 Jaques Ave",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016102476",
            "country_code": "US",
            "telephone_number": "508-860-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "CAMILLE",
        "name_prefix": "Ms.",
        "credential": "M.S.W., L.C.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "SW2027128-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013009869",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009854",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eleanor Beiler
• Mary Bell
• Kathryn Bellavance, PTA
• Jillian Bellman
• Ruth G Benet, D.O.
• Monalisa Y Bentley Mitchell
• Lori Bergeron
• Jennifer Berk
• Eileen Ann Berti, RPH
• Lisa Bessette Grover

• All providers in Putnam, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.