Ben Bernstein, LCSW
Individual provider Active NPI Clinical Social Worker · Champaign, IL
NPI 1194156422 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1194156422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149018152 (IL)
- Practice address
- 1813 W Kirby Ave Ste 120
Champaign, IL 61821-5410 - Phone
- (217) 383-1850
- Fax
- (217) 383-3439
- NPI assigned
- Dec 12, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Dulski Counseling, LLC
Champaign Counseling LLC
Practice addresses (Care Compare)
3362 Big Pine TRL
Suite a
Champaign, IL 61822-1409
Phone (217) 383-0151
7 Dunlap CT
Savoy, IL 61874-9501
Phone (217) 203-2008
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160219000013 | IL | Practitioner - Clinical Social Worker | 3678878279 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149018152 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Champaign Counseling LLC | Clinical | Current |
Accepting new patients |
| Dulski Counseling, LLC | Clinical | Current |
Accepting new patients |
| Carle Health Care Incorporated | Current |
Accepting new patients | |
| Insight Therapy | Past |
Accepting new patients |
Locations
1813 W Kirby Ave
Ste 120
Champaign, IL 61821
Phone (217) 383-1850
313 N Mattis Ave
Ste 116
Champaign, IL 61821
Phone (217) 203-2008
3362 Big Pine Trl
Ste A
Champaign, IL 61822
Phone (217) 383-0151
7 Dunlap Ct
Savoy, IL 61874
Phone (217) 203-2008
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149018152 | IL | Yes |
Addresses
Primary practice location
1813 W Kirby Ave Ste 120
Champaign, IL 61821-5410
Mailing address
611 W Park St
Urbana, IL 61801-2529
Phone (217) 383-6941
Other providers in Champaign, IL
- Christine Benway
- Bailey Berg
- Tabitha Berg
- James Berkes
- Morgan R Bernier
- Phyllis Anne Berry
- William Edson Berryman
- Kelli Bertram
- Bethany Psychotherapy & Wellness PLLC
- Better Play Performance & Rehab PLLC
All providers in Champaign, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.