Active NPI
Jered Dane Benedick, LCSW
- Clinical Social Worker
- Harker Heights, TX
National Provider Identifier
1619122314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 40408
- Practice address
- 775 Indian TRL
Ste. 200
Harker Heights, TX 76548 - Phone
- (877) 800-5722
- Fax
- (254) 698-3247
- NPI assigned
- Nov 21, 2008
- Last updated
- Jun 27, 2025
- 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 | 40408 | TX | Primary |
Addresses
Primary practice location
775 Indian TRL
Ste. 200
Harker Heights, TX 76548
Mailing address
2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone (877) 800-5722
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jered.benedick.p1@direct.lscctx.nextgenshare.com |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lone Star Circle of Care | Current | Accepting new patients |
Locations
205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207
2423 Williams Dr
Ste 107
Georgetown, TX 78628
Phone (512) 686-0207
Interoperability endpoints
- jered.benedick.1@29821.direct.athenahealth.com
- jered.benedick.p1@direct.lscctx.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LSCC OBGYN
- Federally Qualified Health Center (FQHC)
- Round Rock, TX
- NPI 1447316898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750982400000",
"number": "1619122314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2423 WILLIAMS DR STE 107",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786283269",
"telephone_number": "877-800-5722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 INDIAN TRL",
"address_2": "STE. 200",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "76548",
"telephone_number": "877-800-5722",
"fax_number": "254-698-3247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEDICK",
"first_name": "JERED",
"middle_name": "DANE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-21",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "40408",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jered.benedick.p1@direct.lscctx.nextgenshare.com",
"affiliation": "N",
"address_1": "775 Indian Trl",
"address_2": "Ste. 200",
"city": "Harker Heights",
"state": "TX",
"country_code": "US",
"postal_code": "76548",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Harker Heights, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.