Benlyd Colon, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P014255 Issued in NC

Practice address

2940 Breezewood Ave Ste 101-201
Fayetteville, NC 28303-5520

Phone

(910) 827-6594

Fax

(910) 827-6592

NPI assigned

Dec 13, 2019

Sex

Female

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

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1053959619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 QUEEN ANNE LOOP APT 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283067899",
            "telephone_number": "910-578-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 BREEZEWOOD AVE STE 101-201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035520",
            "telephone_number": "910-827-6594",
            "fax_number": "910-827-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "BENLYD",
        "name_prefix": "Mrs.",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-13",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Vernon Collins, RPH
• Megan Collinsworth, PHARMD
• Jessica Marie Colombo, CRNA
• Sandy Colon Rosado
• Abigail Colon Santana
• Omici Uwagbai Colquitt, M.D., M.P.H.
• Mykalia Colvin
• Victoria Madeline Combs
• Comfort Care Home Care, Inc.
• Cherene Susan Comick, MED, PCET

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.