Individual provider Active NPI

Joel Christopher Lizama Benavente, LCSW, LMSW

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1457928939
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10814-C Issued in NV
Practice address
1905 E 4TH St
Reno, NV 89512-3789
Phone
(775) 786-4673
NPI assigned
Jun 4, 2021
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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 10814-C NV Primary

Addresses

Primary practice location

1905 E 4TH St
Reno, NV 89512-3789

Mailing address

11380 S Virginia St Apt 2234
Reno, NV 89511-9044
Phone (702) 300-7582

Other practice location 1

580 W 5th St
Reno, NV 89503-4407
Phone (775) 786-4673

Other practice location 2

180 Country Estates Cir
Reno, NV 89511-4013
Phone (775) 870-5027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20250624003981 NV Practitioner - Clinical Social Worker 9032621149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

580 W 5TH St
Reno, NV 89503-4407
Phone (775) 786-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10814-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Nevada HIV Outpatient Program, Education and Services CurrentSince Apr 13, 2025 Accepting new patients
Northern Nevada HIV Outpatient Program, Education and Services Multi-Specialty CurrentSince Apr 13, 2025 Accepting new patients
True North Treatment Center LLC PastSince Jun 6, 2021 Accepting new patients

Locations

1920 E 4th St
Reno, NV 89512
Phone (775) 786-4673

580 W 5th St
Reno, NV 89503
Phone (775) 786-4673

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1457928939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11380 S VIRGINIA ST APT 2234",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895119044",
            "telephone_number": "702-300-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 E 4TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895123789",
            "telephone_number": "775-786-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895034407",
            "country_code": "US",
            "telephone_number": "775-786-4673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Country Estates Cir",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895114013",
            "country_code": "US",
            "telephone_number": "775-870-5027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENAVENTE",
        "first_name": "JOEL CHRISTOPHER",
        "middle_name": "LIZAMA",
        "credential": "LCSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-04",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "10814-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.