Individual provider Active NPI

Steven Benge, LMSW-P

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1417566019
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
X-11545 Issued in NM
Practice address
1120 2ND St NW
Albuquerque, NM 87102-2218
Phone
(505) 313-9257
NPI assigned
Jul 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 X-11545 NM Primary

Addresses

Primary practice location

1120 2ND St NW
Albuquerque, NM 87102-2218

Mailing address

1120 2ND St NW
Albuquerque, NM 87102-2218

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Albuquerque Direct HopeWorks

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

State licenses

LicenseStateTypeSpecialty
X-11545NMMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1417566019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 2ND ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 2ND ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022218",
            "telephone_number": "505-313-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENGE",
        "first_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "LMSW-P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-29",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "X-11545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Albuquerque",
            "affiliation": "Y",
            "affiliationName": "HopeWorks",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1120 2nd St NW",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871022218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.