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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Dulski Counseling, LLC (3 clinicians)
Champaign Counseling LLC (3 clinicians)

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 IDStateProvider typePAC IDDetails
I20160219000013 IL Practitioner - Clinical Social Worker 3678878279 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
149018152ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Champaign Counseling LLC Clinical Current
since Aug 1, 2024
Accepting new patients
Dulski Counseling, LLC Clinical Current
since Jan 1, 2026
Accepting new patients
Carle Health Care Incorporated Current
since Jun 5, 2017
Accepting new patients
Insight Therapy Past
since Mar 11, 2013
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)CodeLicenseStatePrimary
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

All providers in Champaign, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.