Individual provider Active NPI

Robert Steven Bennett, LCSW

  • Clinical Social Worker
  • Benton, AR
National Provider Identifier
1467778175
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2593-C Issued in AR
Practice address
307 E Sevier St
Benton, AR 72015-3934
Phone
(501) 315-4224
Fax
(501) 778-0450
NPI assigned
Apr 20, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X GSW#10506 LA
Social Worker 104100000X 2440-M AR
Clinical Social Worker 1041C0700X 2593-C AR Primary

Addresses

Primary practice location

307 E Sevier St
Benton, AR 72015-3934

Mailing address

307 E Sevier St
Benton, AR 72015-3934
Phone (501) 315-4224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20110419000451 AR Practitioner - Clinical Social Worker 3577748474 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2440-MARMDSocial Worker
GSW#10506LAMDSocial Worker
10506LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Clinic, Inc. CurrentSince Mar 14, 2011 Accepting new patients
Counseling Clinic, Inc Clinical Current Accepting new patients
Counseling Clinic, Inc PastSince Sep 17, 2023 Accepting new patients
Counseling Clinic, Inc Past Accepting new patients

Locations

110 Pearson
Benton, AR 72015
Phone (501) 315-4224

112 Pearson
Benton, AR 72015
Phone (501) 315-4224

307 E Sevier St
Benton, AR 72015
Phone (501) 315-4224

310 Whittington Ave
Hot Springs National Park, AR 71901
Phone (501) 623-3477

Organizations & group practices 4

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": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1467778175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E SEVIER ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153934",
            "telephone_number": "501-315-4224",
            "fax_number": "501-778-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E SEVIER ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153934",
            "telephone_number": "501-315-4224",
            "fax_number": "501-778-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "ROBERT",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-20",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "GSW#10506",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "2440-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2593-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

Verify at the official NPI Registry.