Individual provider Active NPI

John D Benton, LCSW

  • Clinical Social Worker
  • Machesney Park, IL
National Provider Identifier
1639358039
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.012605 Issued in IL
Practice address
9308 Baldwin Dr
Machesney Park, IL 61115-1720
Phone
(779) 537-4631
NPI assigned
Nov 1, 2007
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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 149.012605 IL Primary

Addresses

Primary practice location

9308 Baldwin Dr
Machesney Park, IL 61115-1720

Mailing address

9308 Baldwin Dr
Machesney Park, IL 61115-1720
Phone (779) 537-4631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090304000235 IL Practitioner - Clinical Social Worker 3072679729 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

1051 Perimeter Dr
Suite 700
Schaumburg, IL 60173-5855
Phone (800) 693-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.012605ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rosecrance Inc Current Accepting new patients
Rosecrance Inc CurrentSince Nov 24, 2012 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 12, 2024 Accepting new patients
Rosecrance Inc CurrentSince Nov 24, 2012 Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Apr 18, 2024 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jul 20, 2025 Accepting new patients
Peace Renewed Counseling PLLC Clinical Past Accepting new patients

Locations

915 Alexandra Dr
Belvidere, IL 61008
Phone (815) 720-9235

332 S Michigan Ave
Chicago, IL 60604
Phone (773) 633-7479

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

1560 Wall St
Ste 204
Naperville, IL 60563
Phone (630) 491-9749

1021 N Mulford Rd
Rockford, IL 61107
Phone (815) 387-5600

1601 University Dr
Rockford, IL 61107
Phone (815) 387-2500

526 W State St
Rockford, IL 61101
Phone (815) 968-9300

1051 Perimeter Dr
Ste 700
Schaumburg, IL 60173
Phone (269) 350-4593

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1639358039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9308 BALDWIN DR",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611151720",
            "telephone_number": "779-537-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9308 BALDWIN DR",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611151720",
            "telephone_number": "779-537-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-01",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Machesney Park, IL

Sources for this page

Verify at the official NPI Registry.