Benjamin Chaback, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

009021 Issued in CT

Practice address

545 Highland Ave
Cheshire, CT 06410-2205

Phone

(203) 250-0305

NPI assigned

Sep 6, 2022

Last updated

Sep 6, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SLC Counseling Associates, LLC

  • Mental Health Counselor
  • Cheshire, CT
  • NPI 1427571587
  NPD (past)
• The Social Learning Center. LLC

  • Professional Counselor
  • Cheshire, CT
  • NPI 1922533363
  NPD (past)

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1053032342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 HIGHLAND AVE",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102205",
            "telephone_number": "203-250-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 HIGHLAND AVE",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102205",
            "telephone_number": "203-250-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHABACK",
        "first_name": "BENJAMIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan A. Castellano, DPT
• Cathleen M. McInerney, LLC
• Kathryn Cedor, LPC
• Center for Holistic Healthcare, PLLC
• Central Connecticut Chiropractic LLC
• Shawniel B Chamanlal, LCSW
• Chanel Myers, LMFT, LLC8
• Padmini Channamsetty, DO
• Shenell Charles
• Cheshire Cat Psychiatric Services PLLC

• Clinical Social Worker in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.