Active NPI
David Mitchell Benson, LICSW
- Clinical Social Worker
- New Bedford, MA
National Provider Identifier
1568598456
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Apr 20, 2014.
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1026451
- Practice address
- 106 Spring St
New Bedford, MA 02740-5951 - Phone
- (508) 992-3126
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1026451 | MA | Primary |
Addresses
Primary practice location
106 Spring St
New Bedford, MA 02740-5951
Mailing address
44 Mayflower LN
Rochester, MA 02770-2136
Phone (508) 951-2218
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1857967 | Medicaid | MA |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1026451 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan H Schwartz MD, PLLC | Past | Accepting new patients | |
| Southshore TMS LLC | Clinical | Past | Accepting new patients |
| Boston Neurobehavioral Associates, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychiatry Physician
- New Bedford, MA
- NPI 1558415307
-
- Multi-Specialty Clinic/Center
- New Bedford, MA
- NPI 1528833522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1568598456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 MAYFLOWER LN",
"city": "ROCHESTER",
"state": "MA",
"postal_code": "027702136",
"telephone_number": "508-951-2218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 SPRING ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027405951",
"telephone_number": "508-992-3126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "DAVID",
"middle_name": "MITCHELL",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1026451",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1857967",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.