Active NPI
Benjamin Eckstein, MSW
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1013345578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C008817
- Practice address
- 817 Broad St
Durham, NC 27705-4137 - Phone
- (919) 808-2318
- NPI assigned
- Oct 21, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 116216 | MA | |
| Clinical Social Worker | 1041C0700X | C008817 | NC | Primary |
Addresses
Primary practice location
817 Broad St
Durham, NC 27705-4137
Mailing address
817 Broad St
Durham, NC 27705-4137
Phone (919) 808-2318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116216 | MA | MD | Clinical Social Worker |
| C008817 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bull City Anxiety | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Durham, NC
- NPI 1154074920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401753600000",
"number": "1013345578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 BROAD ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054137",
"telephone_number": "919-808-2318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 BROAD ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054137",
"telephone_number": "919-808-2318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKSTEIN",
"first_name": "BENJAMIN",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-21",
"last_updated": "2014-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "116216",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C008817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
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- Eckerd Corporation (Rite Aid Pharmacy 11402)
- Eckerd Corporation (Rite Aid Pharmacy 11404)
- Caitlin Jordan Eckert, LCSW
- Austin Marie Eckhoff, MD
- Eclipse Anesthesia Partners PLLC
- Edc Drug Stores (Rite Aid Pharmacy 11406)
- Edc Drug Stores Inc (Rite Aid Pharmacy 11405)
- Edc Drug Stores Inc (Rite Aid Pharmacy 11407)
- Ashley Edds, M.S., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.