Active NPI
Benoy Thomas, MSW, LCSW-C, LICSW
- Clinical Social Worker
- Germantown, MD
National Provider Identifier
1124550728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09243
- Practice address
- 19709 Executive Park Cir
Germantown, MD 20874-2639 - Phone
- (240) 593-6810
- NPI assigned
- Apr 1, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 09243 | MD | Primary |
| Clinical Social Worker | 1041C0700X | LC302719 | DC |
Addresses
Primary practice location
19709 Executive Park Cir
Germantown, MD 20874-2639
Mailing address
15112 Peachstone Dr
Silver Spring, MD 20905-4317
Phone (240) 593-6810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC302719 | DC | MD | Clinical Social Worker |
| 09243 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindlife Counseling LLC | Clinical | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Silver Spring, MD
- NPI 1649015314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491004800000",
"number": "1124550728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15112 PEACHSTONE DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209054317",
"telephone_number": "240-593-6810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19709 EXECUTIVE PARK CIR",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208742639",
"telephone_number": "240-593-6810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "BENOY",
"credential": "MSW, LCSW-C, LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-01",
"last_updated": "2017-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "09243",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC302719",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.