Christine K Benson-Larson, LCSW
Individual provider Active NPI Clinical Social Worker · Ottawa, IL
NPI 1275600124 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1275600124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 1100 E Norris Drive
Ottawa, IL 61350-3678 - Phone
- (815) 434-4382
- Fax
- (815) 431-5528
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osf Multi-Specialty Group
Practice addresses (Care Compare)
1505 Eastland Dr
Suite 1100
Bloomington, IL 61701-7905
Phone (309) 533-7455
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230327001607 | IL | Practitioner - Clinical Social Worker | 8729452115 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients |
Locations
1505 Eastland Dr
Ste 1100
Bloomington, IL 61701
Phone (309) 663-2100
1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | IL | Yes |
Addresses
Primary practice location
1100 E Norris Drive
Ottawa, IL 61350-3678
Mailing address
1100 E Norris Dr
Ottawa, IL 61350-3678
Phone (815) 434-4382
Other providers in Ottawa, IL
- Bradley John Beemer
- Mark Benavides
- Benner Family Pharmacy
- Benner Family Pharmacy Inc
- Ronald L Benner
- Myles Jacob Berg
- Jasmine Naila Bhurgri
- Bodycare Chiropractic of Ottawa S.C.
- Erin Rose Boe
- Kristin Ashley Bondlow
All providers in Ottawa, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.