Individual provider Active NPI

Benjamin Michael Parker, LCSW

  • Clinical Social Worker
  • Minot, ND
National Provider Identifier
1215533500
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5761 Issued in ND
Practice address
20 1St St SW Ste 202
Minot, ND 58701-3851
Phone
(701) 852-0836
NPI assigned
Dec 10, 2020
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5761 ND Primary
Social Worker 104100000X 5761 ND

Addresses

Primary practice location

20 1St St SW Ste 202
Minot, ND 58701-3851

Mailing address

20 1St St SW Ste 202
Minot, ND 58701-3851
Phone (701) 852-0836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128003257 ND Practitioner - Clinical Social Worker 3870022304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

1827 19TH St N
Wahpeton, ND 58075-3222
Phone (207) 487-5335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5761NDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Plains Children's Advocacy Center CurrentSince Sep 28, 2021 Accepting new patients
Talkspace Provider Network PA CurrentSince Jan 24, 2025 Accepting new patients

Locations

20 1st St SW
Ste 202
Minot, ND 58701
Phone (701) 852-0836

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

Organizations & group practices 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1215533500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 1ST ST SW STE 202",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013851",
            "telephone_number": "701-852-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 1ST ST SW STE 202",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013851",
            "telephone_number": "701-852-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "BENJAMIN",
        "middle_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-10",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "5761",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "5761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.