Charlene M. Benton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2073 Issued in KY

Practice address

104 S Front Ave
Prestonsburg, KY 41653-1614

Phone

(606) 886-8572

Fax

(606) 886-4433

NPI assigned

Dec 5, 2006

Last updated

Feb 1, 2017By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

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.

• Mountain Comprehensive Care Center, Inc.

  • Mental Health Counselor
  • Prestonsburg, KY
  • NPI 1760491674
  Medicare reassignment NPD
• Mountain Comprehensive Care Center, Inc.

  dba Homeplace Clinic

  • Federally Qualified Health Center (FQHC)
  • Paintsville, KY
  • NPI 1578811774
  NPD
• Mountain Comprehensive Care Center, Inc.

  dba Homeplace Clinic Mobile Unit

  • Federally Qualified Health Center (FQHC)
  • Paintsville, KY
  • NPI 1699386078
  NPD
• Mountain Comprehensive Care Center, Inc.

  dba Homeplace Clinic

  • Federally Qualified Health Center (FQHC)
  • Prestonsburg, KY
  • NPI 1023517679
  NPD (past)
• Mountain Comprehensive Care Center, Inc.

  dba Homeplace Clinic Louisa

  • Federally Qualified Health Center (FQHC)
  • Louisa, KY
  • NPI 1114426863
  NPD (past)
• Mountain Comprehensive Care Center, Inc.

  dba Homeplace Clinic Inez

  • Federally Qualified Health Center (FQHC)
  • Inez, KY
  • NPI 1285244244
  NPD (past)
• Mountain Comprehensive Care Center, Inc.

  dba Homeplace Clinic Grayson

  • Federally Qualified Health Center (FQHC)
  • Grayson, KY
  • NPI 1518441260
  NPD (past)
• Mountain Comprehensive Care Center, Inc.

  dba Homeplace Clinic

  • Federally Qualified Health Center (FQHC)
  • Pikeville, KY
  • NPI 1730688359
  NPD (past)
• Mountain Comprehensive Care Center, Inc.

  dba Homeplace Clinic Cynthiana

  • Federally Qualified Health Center (FQHC)
  • Cynthiana, KY
  • NPI 1770121972
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1124186572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S FRONT AVE",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531614",
            "telephone_number": "606-886-8572",
            "fax_number": "606-886-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S FRONT AVE",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531614",
            "telephone_number": "606-886-8572",
            "fax_number": "606-886-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "CHARLENE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "2073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106392",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Bentley
• April Bentley
• David Bentley
• Michelle Bentley
• Shana Bentley
• Summer Benton, PERSP
• Sophia Bercenio
• Kimberly Berry
• Lauren Berry
• Kayla Berryman

• Clinical Social Worker in Prestonsburg, KY
• Providers in Prestonsburg, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.