Leatha J Benson, LSCSW
Individual provider Active NPI Clinical Social Worker · Dodge City, KS
NPI 1508075532 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508075532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2524 (KS)
- Practice address
- 11200 Lariat Way
Dodge City, KS 67801-7328 - Phone
- (620) 225-0276
- Fax
- (620) 225-0279
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2524 | KS | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Behavioral Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2524 | KS | Yes |
Addresses
Primary practice location
11200 Lariat Way
Dodge City, KS 67801-7328
Mailing address
900 W Broadway St
Newton, KS 67114-2037
Phone (316) 283-1950
Other providers in Dodge City, KS
- Barnett Consulting Services
- Deanna Louise Barnett
- Amanda Marie Barrientos
- Amanda Belcher
- Kylan Cris Bennett
- Sheri Lynn Berger
- Christian Bergmeier
- Jennifer Ann Blackburn
- Janese S Boger
- Jamey L Brannon
All providers in Dodge City, KS · Clinical Social Worker in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.