Mary C Benjamin, LCSW
Individual provider Active NPI Clinical Social Worker · Geneva, IL
NPI 1619251295 · NPPES record last updated Sep 30, 2011
Key facts
- NPI
- 1619251295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149005658 (IL)
- Practice address
- 39W408 W Burnham LN
Geneva, IL 60134-4892 - Phone
- (630) 232-2426
- NPI assigned
- Sep 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149005658 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149005658 | IL | Yes |
Addresses
Primary practice location
39W408 W Burnham LN
Geneva, IL 60134-4892
Mailing address
39W408 W Burnham LN
Geneva, IL 60134-4892
Phone (630) 232-2426
Other names
- Mary C Cortes Benjamin
Other providers in Geneva, IL
- Bharati Belani
- Nancy Jean Belmont
- Annmarie L. Belmonte
- Marianne Benedek
- Maylene Benes
- Linda C Bennet
- David John Bennett
- Ericka Lynn Bergquist
- Melissa Bernat
- Patty (Patricia) J. Bertrand
All providers in Geneva, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2011. 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.