Nicole Ranae Benkert, LMSW
Individual provider Active NPI Clinical Social Worker · Vassar, MI
NPI 1043782865 · NPPES record last updated Dec 19, 2022
Key facts
- NPI
- 1043782865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801108888 (MI)
- Practice address
- 150 Enterprise Dr
Vassar, MI 48768-9584 - Phone
- (989) 823-3040
- NPI assigned
- Dec 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 1041C0700X | 6801108888 | MI | Yes |
Addresses
Primary practice location
150 Enterprise Dr
Vassar, MI 48768-9584
Mailing address
150 Enterprise Dr
Vassar, MI 48768-9584
Other providers in Vassar, MI
- Autumn Ruth Elizabeth Bailey
- Julianne Kathryn Bailey
- Helga Bakk
- Mark C Baldwin
- Jean H Barden
- Douglas P Bey
- Linda Bielskis
- Carol Blasius
- Daniel Erwin Blossom
- Sally Blossom
All providers in Vassar, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.