Nancy J Benner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4333 Issued in OR

Practice address

9860 SW Hall Blvd
Suite D
Tigard, OR 97223-8896

Phone

(503) 516-3368

NPI assigned

Dec 3, 2008

Last updated

Dec 3, 2008By the provider in NPPES

Sex

Female

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": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1154566222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80956",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972801956",
            "telephone_number": "503-516-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9860 SW HALL BLVD",
            "address_2": "SUITE D",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238896",
            "telephone_number": "503-516-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNER",
        "first_name": "NANCY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Benak, PCD
• Diane Benavides-Wille, MA
• Benchmark Physical Therapy of Or, LLC
• Johnny Benford IV
• Candice Danielle Benjamin
• Ann Bennett, RN STUDENT
• Kelly Alysa Bennett, LMT, BCTMB
• Jordan Levi Benning
• Julia Bennion
• Alexis Michelle Benson

• Clinical Social Worker in Tigard, OR
• Providers in Tigard, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.