Active NPI
Carlos Fabricio Benavides, LCSW135470
- Clinical Social Worker
- Long Beach, CA
National Provider Identifier
1144751579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW135470
- Practice address
- 850 E Wardlow Rd
Long Beach, CA 90807-4628 - Phone
- (562) 981-9392
- NPI assigned
- Mar 27, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW112732 | CA | |
| Mental Health Counselor | 101YM0800X | ASW76018 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW135470 | CA | Primary |
| Mental Health Counselor | 101YM0800X | ASW112732 | CA |
Addresses
Primary practice location
850 E Wardlow Rd
Long Beach, CA 90807-4628
Mailing address
850 E Wardlow Rd
Long Beach, CA 90807-4628
Phone (310) 523-9500
Other practice location 1
460 E Carson Plaza Dr
Suite 102
Carson, CA 90746-3228
Phone (310) 523-9500 ext. 203
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 |
|---|---|---|---|
| ASW76018 | CA | MD | Mental Health Counselor |
| ASW112732 | CA | MD | Clinical Social Worker |
| LCSW135470 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1144751579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 E WARDLOW RD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908074628",
"telephone_number": "310-523-9500",
"fax_number": "310-225-2725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 E WARDLOW RD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908074628",
"telephone_number": "562-981-9392"
}
],
"practiceLocations": [
{
"address_1": "460 E Carson Plaza Dr",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Carson",
"state": "CA",
"postal_code": "907463228",
"country_code": "US",
"telephone_number": "310-523-9500 x203",
"fax_number": "310-225-2725",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENAVIDES",
"first_name": "CARLOS",
"middle_name": "FABRICIO",
"credential": "LCSW135470",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-27",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW112732",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW76018",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW135470",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW112732",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.