Individual provider Active NPI

Barbara Benyo-Habash, LCSW-C

  • Clinical Social Worker
  • Southington, OH
National Provider Identifier
1366791535
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1700322 Issued in OH
Practice address
2400 State Route 534
Southington, OH 44470-9603
Phone
(301) 300-2240
NPI assigned
Sep 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14167 MD
Clinical Social Worker 1041C0700X I.1700322 OH Primary

Addresses

Primary practice location

2400 State Route 534
Southington, OH 44470-9603

Mailing address

2400 State Route 534
Southington, OH 44470-9603
Phone (301) 300-2240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14167MDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1366791535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 STATE ROUTE 534",
            "city": "SOUTHINGTON",
            "state": "OH",
            "postal_code": "444709603",
            "telephone_number": "301-300-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 STATE ROUTE 534",
            "city": "SOUTHINGTON",
            "state": "OH",
            "postal_code": "444709603",
            "telephone_number": "301-300-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENYO-HABASH",
        "first_name": "BARBARA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14167",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, OH

Sources for this page

Verify at the official NPI Registry.