Active NPI
Matthew Benorden, LSCSW
- Clinical Social Worker
- Lawrence, KS
National Provider Identifier
1346924990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5785
- Practice address
- 2616 Moundview Dr
Lawrence, KS 66049-2535 - Phone
- (785) 418-4429
- NPI assigned
- Jun 14, 2023
- Last updated
- Jun 14, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5785 | KS | Primary |
Addresses
Primary practice location
2616 Moundview Dr
Lawrence, KS 66049-2535
Mailing address
2616 Moundview Dr
Lawrence, KS 66049-2535
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5785 | KS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth Layton Center, Inc. | Current | Accepting new patients | |
| Pawnee Mental Health Service, Inc. | Past | Accepting new patients |
Locations
2537 Eisenhower Rd
Ottawa, KS 66067
Phone (785) 242-2183
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Ottawa, KS
- NPI 1972209732
-
- Primary Care Clinic/Center
- Manhattan, KS
- NPI 1356139158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1346924990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2616 MOUNDVIEW DR",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660492535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2616 MOUNDVIEW DR",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660492535",
"telephone_number": "785-418-4429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENORDEN",
"first_name": "MATTHEW",
"credential": "LSCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-14",
"last_updated": "2023-06-14",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "5785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.