Joan Ruez Benner, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60083807 Issued in WA

Practice address

6748 1St Ave NW
Seattle, WA 98117-4827

Phone

(206) 462-9166

Fax

(206) 297-7555

NPI assigned

Mar 1, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1235679853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6748 1ST AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981174827",
            "telephone_number": "206-462-9166",
            "fax_number": "206-297-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6748 1ST AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981174827",
            "telephone_number": "206-462-9166",
            "fax_number": "206-297-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNER",
        "first_name": "JOAN",
        "middle_name": "RUEZ",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60083807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayson Lee Benjert, D.O.
• Genelle Nicole Benker, BA, RYT, RC
• Theresa Benkman, LMT, CTP
• Tanya Benn
• Mica Benner-Kenagy
• Kyle J Benner, M.D.
• Courtney Bennett McDuffee
• Molly L. Bennett-Kaufman, ARNP
• Anamika T Bennett, L.D.
• Andrew Bennett

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.