Individual provider Active NPI

Katherine K Benion, LCSW

  • Clinical Social Worker
  • Watsontown, PA
National Provider Identifier
1053609131
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019023 Issued in PA
Practice address
12560 State Route 405
Watsontown, PA 17777-8525
Phone
(570) 538-2501
Fax
(570) 538-3227
NPI assigned
Jul 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW019023 PA Primary

Addresses

Primary practice location

12560 State Route 405
Watsontown, PA 17777-8525

Mailing address

7 Dock Hill Road
Middleburg, PA 17842-8901
Phone (570) 837-2123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20160603000193 PA Practitioner - Clinical Social Worker 2860612231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Center PCGroup PAC ID 0244124212, 351 clinicians

Practice addresses (Care Compare)

1 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-5889

12560 State Route 405
Watsontown, PA 17777-8525
Phone (570) 538-2501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW019023PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Center, PC Clinical CurrentSince May 1, 2016 Accepting new patients
Family Practice Center, PC CurrentSince May 1, 2016 Accepting new patients

Locations

7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123

12560 State Route 405
#205
Watsontown, PA 17777

12560 State Route 405
Watsontown, PA 17777
Phone (570) 538-2501

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1053609131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL ROAD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428901",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12560 STATE ROUTE 405",
            "city": "WATSONTOWN",
            "state": "PA",
            "postal_code": "177778525",
            "telephone_number": "570-538-2501",
            "fax_number": "570-538-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENION",
        "first_name": "KATHERINE",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsontown, PA

Sources for this page

Verify at the official NPI Registry.