Tammy Melissa Benz-Yanken, LCSW
Individual provider Active NPI Clinical Social Worker · Dublin, GA
NPI 1164524369 · NPPES record last updated Mar 30, 2022
Key facts
- NPI
- 1164524369
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW003839 (GA)
- Practice address
- 1826 Veterans Blvd
Dublin, GA 31021-3620 - Phone
- (478) 272-1210
- Fax
- (478) 277-2823
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- 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 |
|---|---|---|---|
| MSW002082 | GA | MD | Social Worker |
| CSW003839 | GA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW002082 | GA | |
| Clinical Social Worker | 1041C0700X | CSW003839 | GA | Yes |
Addresses
Primary practice location
1826 Veterans Blvd
Dublin, GA 31021-3620
Mailing address
569 Turkey Creek Cir
Dublin, GA 31021-2099
Other providers in Dublin, GA
- Maurine Wilcox Bennett
- Paulette Bennett
- Robert Martin Bennett
- Tristen Julian Hinson Bennett
- Jimmy Benson Jr.
- Fathia Bess
- Bestcare Counseling, PC
- Shenice Lakendra Betha
- Leah S Bethea
- Billy H Moses Jr MD LLC
All providers in Dublin, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2022. 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.