Paul Edward Benedict

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

123018 Issued in MA

Practice address

17 Fairfield Dr
Hampton, NH 03842-1139

Phone

(508) 451-4392

NPI assigned

Dec 7, 2020

Last updated

Dec 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1134725005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FAIRFIELD DR",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038421139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FAIRFIELD DR",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038421139",
            "telephone_number": "508-451-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDICT",
        "first_name": "PAUL",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "123018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Appledore Medical Group, Inc. (dba Hampton Internal Medicine)
• Samantha Bynum Ball, LICSW
• Taylor Leanne Barnes, OTR/L
• Stuart L Barr, DMD
• Hilary Bascom, M.S., CCC-SLP
• Joyce Mary Biga
• Elizabeth Blue, PTA
• Patricia Blyth
• Martin Paul Boldin Jr., LICSW, MLADC
• Louis Jay Bornstein, LIC.AC

• Clinical Social Worker in Hampton, NH
• Providers in Hampton, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.