Individual provider Active NPI

Kathleen Benoit, LICSW

  • Clinical Social Worker
  • West Boylston, MA
National Provider Identifier
1245773449
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000123675 Issued in MA
Practice address
45 Sterling St
West Boylston, MA 01583-1200
Phone
(774) 369-0633
NPI assigned
Nov 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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 000123675 MA Primary

Addresses

Primary practice location

45 Sterling St
West Boylston, MA 01583-1200

Mailing address

16 Johnson Way
Rutland, MA 01543-2140
Phone (774) 369-0633

Other practice location 1

88 Lincoln St
Framingham, MA 01702-6354
Phone (508) 620-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20210512002650 MA Practitioner - Clinical Social Worker 2466861992 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000123675MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Benoit Counseling Center, LLC Clinical CurrentSince Feb 1, 2026 Accepting new patients

Locations

45 Sterling St
West Boylston, MA 01583
Phone (774) 369-0633

45 Sterling St
Ste 21
West Boylston, MA 01583
Phone (774) 369-0633

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1245773449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 JOHNSON WAY",
            "city": "RUTLAND",
            "state": "MA",
            "postal_code": "015432140",
            "telephone_number": "774-369-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 STERLING ST",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015831200",
            "telephone_number": "774-369-0633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017026354",
            "country_code": "US",
            "telephone_number": "508-620-0010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "KATHLEEN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000123675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Boylston, MA

Sources for this page

Verify at the official NPI Registry.