Individual provider Active NPI

Jennifer Ella Benway

  • Clinical Social Worker
  • Westphalia, MI
National Provider Identifier
1215809249
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801120267 Issued in MI
Practice address
302 N Westphalia St
PO Box 192
Westphalia, MI 48894
Phone
(989) 506-4455
NPI assigned
Sep 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801120267 MI Primary

Addresses

Primary practice location

302 N Westphalia St
PO Box 192
Westphalia, MI 48894

Mailing address

302 N Westphalia St
PO Box 192
Westphalia, MI 48894
Phone (989) 506-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801120267MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1215809249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N WESTPHALIA ST",
            "address_2": "PO BOX 192",
            "city": "WESTPHALIA",
            "state": "MI",
            "postal_code": "48894",
            "telephone_number": "989-506-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N WESTPHALIA ST",
            "address_2": "PO BOX 192",
            "city": "WESTPHALIA",
            "state": "MI",
            "postal_code": "48894",
            "telephone_number": "989-506-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENWAY",
        "first_name": "JENNIFER",
        "middle_name": "ELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801120267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westphalia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.