LLC of Regina Benner

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LLC OF REGINA BENNER

Practice address

672A Knowles Ave
Southampton, PA 18966-4102

Phone

(215) 407-5232

NPI assigned

Mar 4, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Regina C Benner, MSW, LCSW, RPTNPI 1205058872

Title

Outpatient Therapist

Phone

(215) 407-5232

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Regina Benner, MSW

  • Clinical Social Worker
  • Paoli, PA
  • NPI 1205058872
  NPD Authorized official

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1295320083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SUMMIT AVE",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190903108",
            "telephone_number": "121-540-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672A KNOWLES AVE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664102",
            "telephone_number": "215-407-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLC OF REGINA BENNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "BENNER",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OUTPATIENT THERAPIST",
        "authorized_official_telephone_number": "215-407-5232",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW, RPT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Southampton, PA
• Providers in Southampton, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.