Benjamin Pearson, LCSW
Individual provider Active NPI Clinical Social Worker · Midway, UT
NPI 1710219035 · NPPES record last updated Aug 6, 2014
Key facts
- NPI
- 1710219035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 533760601-3501 (UT)
- Practice address
- 375 Rainbow LN
Midway, UT 84049-7001 - Phone
- (435) 654-1082
- Fax
- (435) 654-1485
- NPI assigned
- Feb 11, 2010
- 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 |
|---|---|---|---|
| 533760601-3501 | UT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 533760601-3501 | UT | Yes |
Addresses
Primary practice location
375 Rainbow LN
Midway, UT 84049-7001
Mailing address
375 Rainbow Lane
PO Box 1000
Midway, UT 84049
Phone (435) 654-1082
Other providers in Midway, UT
- Midway Family Pharmacy PC
- Midway Pharmacy
- Judith S Moore
- Nielson Chiropractic Center Inc
- Leif Erik Nielson
- Prince Dental Group PLLC
- David M Prince
- Caroline J Rhodes
- Ridley'S Family Markets, Inc
- Erin Seamons
All providers in Midway, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2014. 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.