Paul Edward Benedict
Individual provider Active NPI Clinical Social Worker · Hampton, NH
NPI 1134725005 · NPPES record last updated Dec 7, 2020
Key facts
- NPI
- 1134725005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 123018 (MA)
- Practice address
- 17 Fairfield Dr
Hampton, NH 03842-1139 - Phone
- (508) 451-4392
- NPI assigned
- Dec 7, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123018 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 123018 | MA | Yes |
Addresses
Primary practice location
17 Fairfield Dr
Hampton, NH 03842-1139
Mailing address
17 Fairfield Dr
Hampton, NH 03842-1139
Other providers in Hampton, NH
- Appledore Medical Group, Inc.
- Samantha Bynum Ball
- Taylor Leanne Barnes
- Stuart L Barr
- Hilary Bascom
- Joyce Mary Biga
- Elizabeth Blue
- Patricia Blyth
- Martin Paul Boldin Jr.
- Louis Jay Bornstein
All providers in Hampton, NH · Clinical Social Worker in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.