Individual provider Active NPI

Ilene Beninson, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1548664683
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085986 Issued in MI
Practice address
1575 Westfield Ave
Ann Arbor, MI 48103-5739
Phone
(248) 376-7031
NPI assigned
Oct 17, 2014
Last updated
Oct 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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 6801085986 MI Primary

Addresses

Primary practice location

1575 Westfield Ave
Ann Arbor, MI 48103-5739

Mailing address

1575 Westfield Ave
Ann Arbor, MI 48103-5739
Phone (248) 376-7031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1548664683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 WESTFIELD AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035739",
            "telephone_number": "248-376-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 WESTFIELD AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035739",
            "telephone_number": "248-376-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENINSON",
        "first_name": "ILENE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.