Richard Benson, LICSW, SUDP, MAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60682632 Issued in WA

Practice address

4106 77TH Avenue CT NW
Gig Harbor, WA 98335-6542

Phone

(253) 400-4789

NPI assigned

May 23, 2012

Last updated

Dec 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alliance for South Sound Health

  dba Wellfound Behavioral Health Hospital

  • Psychiatric Hospital
  • Tacoma, WA
  • NPI 1891298980
  NPD

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1023378163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 POINT FOSDICK DR STE F96",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351733",
            "telephone_number": "253-400-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 77TH AVENUE CT NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983356542",
            "telephone_number": "253-400-4789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9040 Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984316226",
            "country_code": "US",
            "telephone_number": "253-968-4066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3402 S 19th St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984052487",
            "country_code": "US",
            "telephone_number": "253-301-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENSON",
        "first_name": "RICHARD",
        "credential": "LICSW, SUDP, MAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-23",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60682632",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francisco Victor Abunda Beltran, MD
• Clifford Eugene Beltz, BSPT
• Nick Foster Bennett, D.O.
• Jamie Marie Benoit
• Bianca Benson, RN
• Patricia Benton, D.M.D.
• Kenneth S Bergman, MD
• Molly Bernardi, LCMHW
• Isabella Jade Bernazzani, LMT
• Gordon Bernstein, M.D.

• Clinical Social Worker in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.