Benjamin Stearne Adiletto – Clinical Social Worker

Key facts

NPI: 1669104709
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: CW022611 (PA)
Practice address: 201 King of Prussia Rd Ste 650
Radnor, PA 19087-5156
Phone: (800) 442-8938
Fax: (856) 861-1384
NPI assigned: Jun 28, 2022
Sex: Male
Sole proprietor: No

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
CW022611	PA	MD	Clinical Social Worker

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	CW022611	PA	Yes

Addresses

Primary practice location

201 King of Prussia Rd Ste 650
Radnor, PA 19087-5156

Mailing address

1120 Route 73 Ste 300
Mount Laurel, NJ 08054-5113
Phone (800) 442-8938

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 28, 2022.

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1669104709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 ROUTE 73 STE 300",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080545113",
            "telephone_number": "800-442-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 KING OF PRUSSIA RD STE 650",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190875156",
            "telephone_number": "800-442-8938",
            "fax_number": "856-861-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADILETTO",
        "first_name": "BENJAMIN",
        "middle_name": "STEARNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Radnor, PA

All providers in Radnor, PA · Clinical Social Worker in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2022. 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.

Verify at the official NPI Registry.