NPIMap

Organization Active NPI

Mary K. Benjamin, Licsw, Inc

  • Adult Mental Health Clinic/Center
  • Milford, MA
National Provider Identifier
1598280745
Registry record updated Aug 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
115406 Issued in MA
Legal business name
MARY K. BENJAMIN, LICSW, INC
Practice address
291 Main St Ste 10
Milford, MA 01757-2526
Phone
(401) 419-5147
Fax
(508) 377-4106
NPI assigned
Aug 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2017

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

Authorized official

Name
Mary K Benjamin, LICSWNPI 1619091444
Title
President
Phone
(401) 419-5147

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 115406 MA Primary

Addresses

Primary practice location

291 Main St Ste 10
Milford, MA 01757-2526

Mailing address

49 Tyler Dr
Uxbridge, MA 01569-1189
Phone (401) 419-5147

National Provider Directory

National Provider Directory

Locations

291 Main St
Ste 10
Milford, MA 01757
Phone (401) 419-5147

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502236800000",
    "number": "1598280745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 TYLER DR",
            "city": "UXBRIDGE",
            "state": "MA",
            "postal_code": "015691189",
            "telephone_number": "401-419-5147",
            "fax_number": "508-377-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 MAIN ST STE 10",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572526",
            "telephone_number": "401-419-5147",
            "fax_number": "508-377-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY K. BENJAMIN, LICSW, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2017-08-09",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-419-5147",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MA",
            "license": "115406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.