Megan Anne Benton, LMSW

Individual provider Active NPI Clinical Social Worker · Davison, MI

NPI 1750162822 · NPPES record last updated Oct 13, 2023

Key facts

NPI
1750162822
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6801094197 (MI)
Practice address
9082 Davison Rd
Davison, MI 48423-1037
Phone
(810) 938-0091
NPI assigned
Oct 13, 2023
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

LicenseStateTypeSpecialty
6801094197MIMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X 6801094197 MI Yes

Addresses

Primary practice location

9082 Davison Rd
Davison, MI 48423-1037

Mailing address

1044 Kingston Ave
Flint, MI 48507-4740
Phone (810) 938-0091

Other providers in Davison, MI

All providers in Davison, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.