Individual provider Active NPI

Benjamin Troendly

  • Clinical Social Worker
  • Cambridge, OH
National Provider Identifier
1659797942
Registry record updated May 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1500230 Issued in OH
Practice address
1225 Woodlawn Ave
Suite 112
Cambridge, OH 43725-3094
Phone
(855) 692-7247
Fax
(855) 692-7247
NPI assigned
Mar 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ICDC.121149-CS OH
Clinical Social Worker 1041C0700X I.1500230 OH Primary

Addresses

Primary practice location

1225 Woodlawn Ave
Suite 112
Cambridge, OH 43725-3094

Mailing address

835 Kenilworth Ave
Coshocton, OH 43812-2367
Phone (855) 692-7247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150423002343 OH Practitioner - Clinical Social Worker 2769700756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Ridge Behavioral Health Solutions LLCGroup PAC ID 5698927432, 7 clinicians

Practice addresses (Care Compare)

841 Steubenville Ave
Cambridge, OH 43725-2301
Phone (855) 692-7247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ICDC.121149-CSOHMDAddiction (Substance Use Disorder) Counselor
I.1500230OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Ridge Behavioral Health Solutions LLC CurrentSince Apr 1, 2017 Accepting new patients
Cedar Ridge Behavioral Health Solutions PastSince Apr 1, 2017 Accepting new patients

Locations

841 Steubenville Ave
Cambridge, OH 43725
Phone (855) 962-7247

1225 Woodlawn Ave
Ste 112
Cambridge, OH 43725

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463788800000",
    "number": "1659797942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 KENILWORTH AVE",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438122367",
            "telephone_number": "855-692-7247",
            "fax_number": "855-692-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WOODLAWN AVE",
            "address_2": "SUITE 112",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437253094",
            "telephone_number": "855-692-7247",
            "fax_number": "855-692-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROENDLY",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-11",
        "last_updated": "2016-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "ICDC.121149-CS",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1500230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

Verify at the official NPI Registry.