Individual provider Active NPI

Lynette Marie Weiss-Benoit, LCSW

  • Clinical Social Worker
  • Nevada City, CA
National Provider Identifier
1376643494
Registry record updated May 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24528 Issued in CA
Practice address
224 Main St
Nevada City, CA 95959-2509
Phone
(530) 798-1076
Fax
(530) 205-9459
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2019

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 24528 CA Primary

Addresses

Primary practice location

224 Main St
Nevada City, CA 95959-2509

Mailing address

PO Box 1088
Nevada City, CA 95959-1088
Phone (530) 798-1076

Other practice location 1

202 Providence Mine Road suite 103 C
Nevada City, CA 95959
Phone (530) 798-1076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20081230000583 CA Practitioner - Clinical Social Worker 3678635505 Practice locations: Nevada City, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

123 Nevada St
Suite a
Nevada City, CA 95959-2603
Phone (530) 798-1076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A New Hope Counseling Services Past Accepting new patients

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557014400000",
    "number": "1376643494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1088",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959591088",
            "telephone_number": "530-798-1076",
            "fax_number": "530-478-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 MAIN ST",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592509",
            "telephone_number": "530-798-1076",
            "fax_number": "530-205-9459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Providence Mine Road suite 103 C",
            "address_purpose": "LOCATION",
            "city": "Nevada City",
            "state": "CA",
            "postal_code": "95959",
            "country_code": "US",
            "telephone_number": "530-798-1076",
            "fax_number": "530-478-9589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS-BENOIT",
        "first_name": "LYNETTE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "24528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada City, CA

Sources for this page

Verify at the official NPI Registry.